Counselor Toolbox Podcast with DocSnipes

Objectives - BREIFLY review the findings from the research identifying the connection between the brain and the gut - Differentiate gut health from proper nutrition - Identify signs and consequences of poor gut health - Explore the bidirectional relationship between the brain and the gut (second brain) - Identify promising alternative approaches to treating mood (and other) disorders. Overview - Depression is the leading cause of disability in the world according to the World Health Organization. The effectiveness of the available antidepressant therapies is limited. - Data from the literature suggest that some subtypes of depression may be associated with chronic low grade inflammation. - The uncovering of the role of intestinal microbiota in the development of the immune system and its bidirectional communication with the brain have led to growing interest on reciprocal interactions between inflammation, microbiota and depression. - The intestinal microbiota: A new player in depression? Encephale. 2018 Feb;44(1):67-74 Learn more about your ad choices. Visit megaphone.fm/adchoices

Objectives - Explore the unique needs of loved ones and caregivers of people with cancer Diagnosis - 650,000+ people die of cancer EACH year - When someone is diagnosed, the patient and loved ones grieve - Even if the cancer is “cured” or goes into remission there may be lasting disabilities and/or losses - Loss of security (health anxiety in the patient and SOs) - Loss of function or changes in appearance - Cognitive impairment (“chemo-brain”) impacts attention, working memory, executive function, and processing speed - Unmet needs of caregivers and patients were associated with increased physical symptoms, anxiety, and reduced QoL - Not everyone experiences grief in the same way - Families need to be educated about the grief bill of rights Learn more about your ad choices. Visit megaphone.fm/adchoices

Biopsychosocial Aspects of HPA-Axis Dysfunction Objectives - Define and explain the HPA-Axis - Identify the impact of trauma on the HPA Axis - Identify the impact of chronic stress/cumulative trauma on the HPA-Axis - Identify symptoms of HPA-Axis dysfunction - Identify interventions useful for this population Based on Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary - Additional modules will focus on topics including… - Accommodations for the clinician to prevent exasperation and burnout. - FASD in the criminal justice system - Case management and Unmet needs for caregivers Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary -Mental health is a biopsychosocial issue -A healthy body, positive emotional experiences, effective thinking strategies, positive environments and healthy interpersonal relationships are essential -A weakness in any of these areas can contribute to extended distress and HPA-Axis dysregulation which can lead to mental health or addiction relapse. Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary ~ Neurotransmitters and hormones exist in a very delicate balance. ~ Changing one often results in a cascade of other changes ~ Mood and cognitive symptoms may be caused by problems with a variety of different neurotransmitters or hormones ~ Aging naturally reduces certain hormones and consequently neurotransmitters ~ Differential diagnoses requires exploring the possibility of a deficit in a neurotransmitter or hormone due to ~ Insufficient raw materials to make it ~ Deficiency in other chemicals that trigger its release ~ Excess of chemicals that degrade it or trigger reuptake ~ Problems in neuronal signaling within the system. ~ The human body is extremely complex ~ Symptoms of mood and cognitive disorders can be caused by a variety of problems in physiological systems ~ Cognitions and emotions can trigger the HPA-Axis and alter the functioning of internal systems and set off a cascade. ~ Effective treatment of mood and cognitive disorders requires addressing all physiological as well as psychological issues contributing to neurochemical imbalance. Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary - Helping your body to balance hormones and neurotransmitters requires - Good nutrition and good health behaviors(exercise, sleep, breathing) to reduce physical stress and inflammation - Addressing cognitive and emotional stress Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary ~ More than 60% of people have experienced ACEs ~ It is believed the rate of exposure to ACEs has increased significantly during COVID ~ Not everyone who experiences ACEs will develop traumatic injury ~ Injuries related to ACE trauma include: ~ Borderline and antisocial personality disorder ~ Mood disorders ~ PTSD ~ Addictions ~ Autoimmune issues including IBS, Chron’s, Diabetes ~ Heart disease, cancer, chronic lung disease, liver disease ~ Increased difficulty in interpersonal relationships due to above issues ~ Increased risk to become a perpetrator of ACEs #traumainformedcare #adversechildhoodexpoeriences #aces #mentalhealth Learn more about your ad choices. Visit megaphone.fm/adchoices

Mindfulness and Self Care to Prevent Burnout Dr. Dawn-Elise Snipes, PhD, LPC-MHSP Counselor Toolbox Podcast CEUs available at: https://allceus.com/member/cart/index/product/id/1410/c/ Objectives – Identify signs and causes of burnout – Explore techniques for burnout prevention Signs of Burnout – Physical and emotional exhaustion – Insomnia – Impaired concentration or memory – Physical symptoms (heart palpitations, HBP) – […] Learn more about your ad choices. Visit megaphone.fm/adchoices

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Explore PACER strategies to help children develop tools to stay healthy and happy Motivation ~ 5 Dimensions ~ Physical: Energy, comfort, health ~ Affective: Happy ~ Cognitive: Why is it something you would want to do? ~ Environmental: Prompts/Triggers; star charts; token economies ~ Relational: How will it make [caregiver] happy ~ Other ~ Seek […] Learn more about your ad choices. Visit megaphone.fm/adchoices

PACER Strategies for Mental Health ~ Relational ~ Social support to prevent distress and aid in coping and prevention of cognitive decline (which means supports need to be mentally and physically healthy too) ~ Significant others ~ Support groups ~ Spiritual leaders ~ Self esteem ~ Communication skills to ask for what is needed and maintain boundaries ~ Respite care for caregivers Learn more about your ad choices. Visit megaphone.fm/adchoices

Immunity and Mental Health Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary - HIV impacts the person Physically, Affectively, Cognitively, Environmentally and Relationally - Behavioral health professionals can aid in screening for comorbid/confounding conditions and making referrals as appropriate - Behavioral health professionals can - Enhance and maintain motivation for treatment compliance - Assist in processing powerful emotions related to the diagnosis and associated issues - Introduce cognitive behavioral tools and strategies to help the person cope - Educate the individual, SOs and community about HIV transmission and treatment (reduce stigma and improve health behaviors) Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary ~ Diabetes impacts people multidimensionally (PACER) ~ Counselors, social workers and case managers can assist through ~ Screening ~ Health education ~ Goal setting and planning ~ Motivational enhancement and maintenance ~ Addressing grief and anxiety issues associated with having a chronic illness Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary - Employment provides a variety of benefits to the person in recovery - Self-Esteem - Structure - Financial independence - Social Support - A safe(er) place to practice new skills - ONet provides an online resource to identify career skills and abilities and jobs that fit the person - The first 6 months of employment often require significant support from a coach/sponsor/therapist - Maintaining Motivation - Identifying family of origin issues Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary ~ Family approaches recognize the reciprocal impact of every individual and every relationship on the functioning of the whole system ~ Family systems resist change in favor of homeostasis ~ It is important to assess ~ The health and wellbeing of all members of the family ~ The PACER needs of each individual and their readiness for change for every treatment goal. ~ Develop a unified vision of what health and happiness look like and each person’s tasks in helping the family move toward that goal. Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary ~ According to the CDC approximately ~ 13% of American adults have diabetes ~ 35% have prediabetes ~ Diabetes is an autoimmune condition ~ Autoimmune conditions cause and are caused by inflammation ~ Inflammation hyperexcites the HPA-Axis ~ Inflammation and HPA-Axis overactivation are associated with depression and anxiety ~ All people with depression and anxiety should be evaluated for autoimmune issues including diabetes ~ Integrative recovery plans should focus on reducing inflammation, regulating the HPA-Axis to prevent or mitigate any autoimmune issues. Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary ~ Stress is ubiquitous and comes in many forms ~ The goal is to reduce distress to free up energy for eustress and still have some left over. ~ Like a cell phone battery ~ Use the energy for the apps and activities you want ~ Eliminate or suspend apps that drain your battery ~ Each day your phone needs time to plugin and recharge Learn more about your ad choices. Visit megaphone.fm/adchoices

Objectives - Define bullying - Explore the types of bullying - Identify characteristics of bullies - Identify motivations for bullying - Identify effects of bullying - Explore interventions to - Stop Bullying - Help bullying victims Learn more about your ad choices. Visit megaphone.fm/adchoices

Intro ~ ADHD is often a life-long condition and predisposes people to the development of mood and addictive disorders. ~ Mood disorders are associated with worse ADHD symptoms. ~ As such, early intervention and a life-span approach needs to be considered Learn more about your ad choices. Visit megaphone.fm/adchoices

Intro ~ ADHD is one of the most common psychiatric disorders, with a worldwide prevalence of 5.2 % among children and adolescents, persisting into adulthood in 60–70 % of cases either as a residual or as a full clinical disorder ~ Medications used to treat ADHD such as methylphenidate, amphetamine, and atomoxetine indicate a dopamine/norepinephrine dysfunction as the neurochemical basis of ADHD and a potential target for anxiety and depression ~ The presence of probable ADHD and the severity of ADHD symptoms are related with the severity of insomnia, even after controlling the depression, anxiety Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary - There is significant overlap between OCD and other psychiatric disorders - While ERP and SSRIs are the gold standard for addressing OCD behaviors, it is also important to address other underlying issues which may contribute to neurotransmitter disruption. - Trauma history (powerlessness and unsafeness) - Lack of emotional regulation skills - Lack of happiness promoting behaviors - Lack of secure attachment (oxytocin) - Poor nutrition, sleep, iron deficiency - Hormone imbalances (gonadal or thyroid) - Medication side effects (hormones, steroids, thyroid, RLS, antipsychotics) Learn more about your ad choices. Visit megaphone.fm/adchoices

Obsessive Compulsive Disorder and Addiction Awareness #ocdawareness #obsessivecompulsivedisorder Cheap CEUs are available for this presentation at https://www.allceus.com/member/cart/index/product/id/1352/c/ Objectives ~ Define obsessions and compulsions ~ Define obsessive compulsive personality disorder ~ Define addiction ~ Explore common obsessions and compulsions and their function ~ Explore why addiction often co-occurs with OCD ~ Identify interventions appropriate to assist […] Learn more about your ad choices. Visit megaphone.fm/adchoices

Symptoms of the Flu - Fever or feeling feverish/chills, sweats - Cough, chest discomfort - Sore throat - Runny or stuffy nose, sinus congestion - Muscle or body aches - Headaches - Exhaustion - Vomiting and diarrhea Types - Major Depressive Disorder (including w/psychotic features) - Persistent Depressive Disorder (High Functioning Depression) - Postpartum Depression - Premenstrual Dysphoric Disorder - Depression in Early Recovery From Addiction - Bipolar Depression - Seasonal Affective Disorder - Grief - Situational Depression (not including grief) - Depression due to a general medical condition (autoimmune issues, stroke, heart disease, dementia…) Learn more about your ad choices. Visit megaphone.fm/adchoices

Improving Health Literacy with Health Coaching Dr. Dawn-Elise Snipes PhD, LPC-MHSP, LMHC Executive Director, AllCEUs Counseling CEUs Objectives – Define health literacy – Explain why health literacy is important – Explore health literacy in a recovery oriented system of care – Identify at least 5 ways to improve health literacy – Explain what health coaching […] Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary - Like a bonzai tree there are times when the brain is developing and malleable. - The brain begins development in the first trimester and continues until age 24. - During adolescence different parts of the brain develop at different times (different branches of the tree) - An insult to the immature brain can cause much more dramatic changes because of its malleability (sapling vs. hardened branch) - All drugs appear to alter parts of the brain associated with learning, memory, emotion regulation, planning and problem solving and impulse control. Learn more about your ad choices. Visit megaphone.fm/adchoices

Objectives - Identify risk and protective factors for - Prematurity/Miscarriage/Stillbirth - Sudden Infant Death Syndrome - Explore treatment issues for the family Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary - Opioids have a place for acute pain management - Opioids have also been associated with reductions in anxiety and depression - Dependence and tolerance develop quickly - Currently opioids are very easily diverted - Prevention needs to focus on all of the reasons people abuse opioids including stress and anxiety management, depression, and pain Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary - Suicidality is not uncommon - It is important to regularly screen all clients for suicidality (e.g. check in sheets, monitoring logs) - Suicidality is an opportunity for change - A variety of different issues can contribute to suicidality. - Early recovery is a period of extreme vulnerability for many people and treatment plans should always contain a suicide prevention plan (does not substitute for active monitoring) Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary - Telemental Health is here to stay - Many self-directed programs are extremely useful for all ages and a multitude of diagnoses, especially for early intervention - The use of virtual technologies enables a clinician to individualize treatment to increase compliance, accessibility and effectiveness - There are many ethical, regulatory and legal issues surrounding the use of electronic devices in any aspect of counseling. Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary ~ Addiction is a biopsychosocial condition ~ No single treatment or intervention is likely sufficient for sustained recovery. ~ Many complimentary therapies help rebalance the neurotransmitters / CNS which often underly craving, withdrawal symptoms and mood issues which are being self-medicated. ~ Many therapies can be used in conjunction to address the myriad of underlying issues contributing to relapse risk (depression, anxiety, low self efficacy, insomnia, fatigue, pan) Learn more about your ad choices. Visit megaphone.fm/adchoices

-Extent of the Problem -Risk Factors for Suicide -Protective Factors -Warning Signs and Precipitating Events -Neurobiological and Genetic Factors -The Role of Substance Use in Suicidal Behavior -Specific Populations -Co-Occurring Mental Disorders and Suicidal Behavior -Accidental Versus Suicidal Overdose -The Role of Trauma and Abuse -Assessment of Suicidal Thoughts and Behaviors -Treatment of Suicidal Thoughts and Behaviors -Substance Abuse Treatment and Suicidal Thoughts and Behaviors -The Effects of Suicide on Family and Friends -The Effects of Suicide on Counselors Learn more about your ad choices. Visit megaphone.fm/adchoices

Objectives - Review the purpose and efficacy of MAT in general - Review current research on MAT for - Nicotine - Alcohol - Opioid - Methamhetamine Learn more about your ad choices. Visit megaphone.fm/adchoices

Objectives - Learn what intervention is - Identify who typically does an intervention and for what reasons - Explore the basic steps in intervention- Register for the 100+ hour Interventionist Certification at AllCEUs Learn more about your ad choices. Visit megaphone.fm/adchoices

Objectives ~ Learn what PAWS is ~ Explore why PAWS happens ~ Identify steps to take to reduce and cope with PAWS What is PAWS ~ PAWS affects people who have engaged in addictive behaviors ~ The effects are based on factors ~ Age ~ Gender ~ Length and amount of use ~ Physical health ~ PAWS begins after acute withdrawal and lasts for up to a year Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary - Long-term pharmacotherapy is available and effective for several addictions - Medication + counseling = recovery - Smoking cessation - Nicotine replacement is available over-the-counter - Bupropion and varenicline are available by prescription for smoking cessation - Multiple medications are available by prescription for alcohol dependence - Methadone/buprenorphine maintenance proven to reduce mortality, crime, & spread of infection - Substitution therapy to eliminate withdrawal, cravings, & heroin effects - Individualized dose Learn more about your ad choices. Visit megaphone.fm/adchoices

Objectives - Identify purpose, sources of information and areas of concern for screening - Explore the pitfalls of diagnosis in the CJ system - Identify preferred screening and assessment instruments and what they measure - Examine placement strategies based on criminality, mental health and addiction issues - Discuss general treatment issues in CJ Learn more about your ad choices. Visit megaphone.fm/adchoices

Objectives - Explore the prevalence of homelessness for children and people with mental illness - Discuss causes of homelessness - Explore the relationship between homelessness and ACEs - Discuss how homelessness impacts the HPA Axis - Review areas to be screened - Identify creative interventions - Identify resources to help people access needed services Learn more about your ad choices. Visit megaphone.fm/adchoices

~ Review some of the unique triggers for co-occurring disorders in adolescents and college students ~ Identify current best practices for preventing those ~ Explore ways to enhance college student engagement in prevention and health promotion activities Learn more about your ad choices. Visit megaphone.fm/adchoices

Explore psychopharmacology and the role and effect of psychotropic medications in mental health Define the problem Identify and discuss differential diagnosis for various pain conditions Examine the similarities between CNCP and addiction Identify the impact of CNCP on patients Discuss effective interventions for CNCP Identify what counselors can do Learn more about your ad choices. Visit megaphone.fm/adchoices

•Recognize and address homelessness as a special dynamic that affects your clients. •Help prevent potential crises that result from becoming homeless. •Provide preventive services for individuals and families who are homeless, •Be more aware of the effects of psychological trauma and co-occurring disorders (CODs) among people who are homeless. •Provide integrated, more effective services to people who are homeless. •Understand and know how to utilize resources for homelessness in your community. •Influence the understanding of others in your community regarding the interrelationship of homelessness, substance abuse, and mental illness. Learn more about your ad choices. Visit megaphone.fm/adchoices

Define Autoimmune Issues Examine the relationship between autoimmune issues and depression Explore the relationship between inflammation and autoimmune disorders and mood disorders Identify interventions needed by people with autoimmune and mood disorders. Learn more about your ad choices. Visit megaphone.fm/adchoices

- Define the socio-ecological model - Apply the socioecological model to addiction - Explore different variables in the socio-ecological model - Discuss how this framework can be used in prevention and treatment of Co-Occurring Disorders Prevention - Prevention can take the form of: - Preventing the problem - Preventing worsening of the problem - Preventing associated fall out Learn more about your ad choices. Visit megaphone.fm/adchoices

• Review current information about the prevention, transmission and treatment of HIV, Hepatitis and Blood Borne Pathogens • Review current information about hepatitis transmission, symptoms and treatment. Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary ~ There are many similarities between Pain, mood and addictive disorders ~ Integrated, concurrent, biopsychosocial treatment is vital ~ Mood impacts pain which impacts life satisfaction ~ Recovery supports realistic beliefs and identifies controllable factors Eenhanced outcomes ~ Patients with current addictions or mental health issues need concurrent treatment Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary - Counseling should focus on where the person is (testing/treatment) and their level of readiness for change. - Counseling goals should be to - Reduce risk of infection/complications or infecting others - Improve health literacy regarding hepatitis - Encourage social support - Assist the person in connecting with needed biopsychosocial resources Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary - Explored the culture, values and traditions of African Americans to include communalism and the importance of spirituality for many clients - Identify issues and barriers which need to be considered to provide culturally responsive treatment including ineffective assessment tools, lack of insurance or transportation and lack of awareness of the types and benefits of counseling services - Learn about how to provide culturally responsive group psychoeducation including how to teach to the collective culture in a multicultural group and how to be an effective group facilitator. - Learned about a variety of evidence based practices demonstrated to be effective with African Americans. Learn more about your ad choices. Visit megaphone.fm/adchoices

Summary/Advice to Counselors - Provide bilingual services. - Use family therapy as a primary method of treatment. - Assess cultural identity and acculturation level for each family member. - Determine the family's level of belief in traditional and complementary healing practices; integrate these as appropriate. - Discuss the family's beliefs, history, and experiences with standard American behavioral health services. - Explore migration and immigration experiences, if appropriate. - Provide additional respect to the father or father figure in the family. Summary/Advice to Counselors - Interview family members or groups of family members (e.g., children) separately to allow them to voice concerns. - Generate solutions with the family. Do not force changes in family relationships. - Provide specific, concrete suggestions for change that can be quickly implemented. - Focus on engaging the family in the first session using warmth and personalismo - Group leaders should allow members to learn from each other and resist functioning as a content expert or a representative of the rules of the system. Otherwise, members could see group therapy as oppressive Learn more about your ad choices. Visit megaphone.fm/adchoices