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Therapies – Trauma Informed Care

Compassionate Trauma and Substance Abuse Treatment

What Is Trauma-Informed Care?

The Connection Between Trauma and Substance Use Disorder

The relationship between trauma and substance use disorder is well-documented and supported in research and is clinically significant. Research has demonstrated that individuals with a history of trauma, including adverse childhood experiences, sexual abuse, child abuse, domestic violence, and other traumatic events, are at an increased risk of developing substance use disorders than individuals who do not have a history of trauma.[3] This is not merely a coincidence.

Trauma has a significant impact on brain development and the neurological systems responsible for regulating stress, emotions, and impulse control.[4] For many individuals, drug and alcohol use begins as a way to cope with symptoms associated with post-traumatic stress disorder (PTSD), such as flashbacks, intrusive thoughts, hypervigilance, and emotional dysregulation. 

Over time, a method of coping with trauma may eventually become an addiction and serve to compound the original traumatic experience and create an additional clinical issue. 

Co-occurring trauma and substance use disorders are common, as SAMHSA has estimated that a significant number of clients presenting for substance use treatment have experienced trauma and are likely to meet diagnostic criteria for PTSD or other trauma-related disorders. Because of this, when treating a substance use disorder without addressing trauma, you are addressing only one part of the issue, leaving that individual vulnerable to continued struggles.

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If you or a loved one has a history of trauma and is struggling with substance use disorder, Meridian Recovery is here to help. Our trauma-informed approach ensures that every person who walks through our doors is met with the safety, respect, and clinical expertise their recovery requires.

How does trauma affect substance abuse?

Trauma affects the areas of the brain that control stress, emotions, and impulse control, making those who have experienced trauma vulnerable to developing substance use disorders. Many individuals use drugs or alcohol to try to relieve their pain, hypervigilance, and emotional dysregulation resulting from their traumatic past. Treating both at the same time is necessary for long-term recovery.

Do most people with addiction have a trauma history?

Studies show that a good portion of people undergoing treatment for substance use disorder have suffered from trauma and are likely to meet the diagnosis criteria for post-traumatic stress disorder or other trauma-related disorders. Adverse childhood experiences, sexual abuse, and domestic violence are all significant indicators of developing a substance use disorder later in life.

What are the five key principles of trauma-informed care?

According to SAMHSA, the five components are: safety, trustworthiness and transparency, peer support, collaboration and mutuality, and empowerment and choice. These principles create a treatment environment that purposefully creates a space for real healing.

Sources

[1] [5] Substance Abuse and Mental Health Services Administration. (2024). Trauma-informed approaches and programs. https://www.samhsa.gov/mental-health/trauma-violence/trauma-informed-approaches-programs

[2] [3] [4] [6] Substance Abuse and Mental Health Services Administration. (2014). Trauma-informed care in behavioral health services. Treatment Improvement Protocol (TIP) Series 57. https://www.ncbi.nlm.nih.gov/books/NBK207191/