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Why we need to offer group trauma treatments to (ordinary) males | Ilana Berman | TEDxDicksonStreet


[Music]

[Music] in order to convince you that grip

in order to convince you that grip

in order to convince you that grip trauma treatments is important and

trauma treatments is important and

trauma treatments is important and effective for men ordinary men more than

effective for men ordinary men more than

effective for men ordinary men more than just veterans I wanted to tell you a

just veterans I wanted to tell you a

just veterans I wanted to tell you a story about a man who sought through

story about a man who sought through

story about a man who sought through treatment to deal with symptoms of

treatment to deal with symptoms of

treatment to deal with symptoms of unprocessed trauma and got better as a

unprocessed trauma and got better as a

unprocessed trauma and got better as a result but I don’t have that story not

result but I don’t have that story not

result but I don’t have that story not because group treatment is effective but

because group treatment is effective but

because group treatment is effective but because men aren’t signing up for it or

because men aren’t signing up for it or

because men aren’t signing up for it or even acknowledging their struggle

even acknowledging their struggle

even acknowledging their struggle nowadays everyone talks about male

nowadays everyone talks about male

nowadays everyone talks about male privilege and the advantages given to

privilege and the advantages given to

privilege and the advantages given to men in a lot of areas of our society but

men in a lot of areas of our society but

men in a lot of areas of our society but when it comes to mental health men are

when it comes to mental health men are

when it comes to mental health men are in a striking disadvantage to receive

in a striking disadvantage to receive

in a striking disadvantage to receive mental health services and even talk

mental health services and even talk

mental health services and even talk about their struggles in men substance

about their struggles in men substance

about their struggles in men substance use disorders are three times more

use disorders are three times more

use disorders are three times more common and men account for it means 75%

common and men account for it means 75%

common and men account for it means 75% of people who conceive suicide but

of people who conceive suicide but

of people who conceive suicide but they’re half as likely to seek mental

they’re half as likely to seek mental

they’re half as likely to seek mental health services as a disclaimer this

health services as a disclaimer this

health services as a disclaimer this talk generally refers to gender as a

talk generally refers to gender as a

talk generally refers to gender as a binary concept I recognize that it isn’t

binary concept I recognize that it isn’t

binary concept I recognize that it isn’t however research on transgender gender

however research on transgender gender

however research on transgender gender queer and non-conforming individuals is

queer and non-conforming individuals is

queer and non-conforming individuals is in its infancy there are important and

in its infancy there are important and

in its infancy there are important and distinct mental health needs for those

distinct mental health needs for those

distinct mental health needs for those populations but that’s not the focus of

populations but that’s not the focus of

populations but that’s not the focus of today’s talk also it might seem strange

today’s talk also it might seem strange

today’s talk also it might seem strange that I a white woman and talking to you

that I a white woman and talking to you

that I a white woman and talking to you today about treatment for men so allow

today about treatment for men so allow

today about treatment for men so allow me to introduce myself

me to introduce myself

me to introduce myself my name is Alana Berman and for the last

my name is Alana Berman and for the last

my name is Alana Berman and for the last nine years I’ve been doing trauma

nine years I’ve been doing trauma

nine years I’ve been doing trauma related work in a variety of settings

related work in a variety of settings

related work in a variety of settings I’m passionate about working with trauma

I’m passionate about working with trauma

I’m passionate about working with trauma survivors because I don’t think it’s

survivors because I don’t think it’s

survivors because I don’t think it’s fair that people have to suffer with

fair that people have to suffer with

fair that people have to suffer with everyday living just because something

everyday living just because something

everyday living just because something bad happened to them and as a

bad happened to them and as a

bad happened to them and as a fourth-year student in a ph.d program

fourth-year student in a ph.d program

fourth-year student in a ph.d program for clinical psychology I know there are

for clinical psychology I know there are

for clinical psychology I know there are treatments out there so that they can

treatments out there so that they can

treatments out there so that they can help reclaim their lives okay so what is

help reclaim their lives okay so what is

help reclaim their lives okay so what is trauma and yes that’s trauma with a TR

trauma and yes that’s trauma with a TR

trauma and yes that’s trauma with a TR not drama in psychology when we talk

not drama in psychology when we talk

not drama in psychology when we talk about trauma it’s not necessarily

about trauma it’s not necessarily

about trauma it’s not necessarily physical or blunt force trauma

physical or blunt force trauma

physical or blunt force trauma it’s an emotional wound historically

it’s an emotional wound historically

it’s an emotional wound historically prime examples of trauma have included

prime examples of trauma have included

prime examples of trauma have included going to war or having a car crash or

going to war or having a car crash or

going to war or having a car crash or experiencing a rape those can definitely

experiencing a rape those can definitely

experiencing a rape those can definitely be traumatic but there’s more

tides are beginning to turn in the

tides are beginning to turn in the understanding that trauma is subjective

understanding that trauma is subjective

understanding that trauma is subjective and that means that we each experience

and that means that we each experience

and that means that we each experience situations differently so you’re the

situations differently so you’re the

situations differently so you’re the only one who knows if an incident was

only one who knows if an incident was

only one who knows if an incident was traumatic for you

traumatic for you

traumatic for you essentially trauma is an emotional wound

essentially trauma is an emotional wound

essentially trauma is an emotional wound and so it overwhelms us it overwhelms

and so it overwhelms us it overwhelms

and so it overwhelms us it overwhelms our body’s capacities our resources in

our body’s capacities our resources in

our body’s capacities our resources in the moment when our biological instincts

the moment when our biological instincts

the moment when our biological instincts to fight to flight or freeze kick in and

to fight to flight or freeze kick in and

to fight to flight or freeze kick in and long after the event has passed so

long after the event has passed so

long after the event has passed so statistically men are more likely to be

statistically men are more likely to be

statistically men are more likely to be exposed to trauma but they’re less

exposed to trauma but they’re less

exposed to trauma but they’re less likely to receive help and seek it

likely to receive help and seek it

likely to receive help and seek it really in our recent community

really in our recent community

really in our recent community recruitment for trauma treatment groups

recruitment for trauma treatment groups

recruitment for trauma treatment groups at the psychological clinic on campus we

at the psychological clinic on campus we

at the psychological clinic on campus we actually received zero inquiries from

actually received zero inquiries from

actually received zero inquiries from men okay so if men are saying they’re

men okay so if men are saying they’re

men okay so if men are saying they’re not affected by trauma they’re fine

not affected by trauma they’re fine

not affected by trauma they’re fine they’re over it we should just believe

they’re over it we should just believe

they’re over it we should just believe them and let them get on with their

them and let them get on with their

them and let them get on with their lives right well not so fast in my

lives right well not so fast in my

lives right well not so fast in my experience as supported by research a

experience as supported by research a

experience as supported by research a lot of men have not only experienced but

lot of men have not only experienced but

lot of men have not only experienced but been affected by these traumatic events

been affected by these traumatic events

been affected by these traumatic events and so given these experiences we’d like

and so given these experiences we’d like

and so given these experiences we’d like to help them right and so this doesn’t

to help them right and so this doesn’t

to help them right and so this doesn’t turn into a traumatic event for me I’m

turn into a traumatic event for me I’m

turn into a traumatic event for me I’m gonna reference my notecards a lot of

gonna reference my notecards a lot of

gonna reference my notecards a lot of men are hesitant to identify these

men are hesitant to identify these

men are hesitant to identify these traumas as traumas they just consider

traumas as traumas they just consider

traumas as traumas they just consider these events as part of life life with

these events as part of life life with

these events as part of life life with bad luck nevertheless natural disasters

bad luck nevertheless natural disasters

bad luck nevertheless natural disasters happen people die parents aren’t as

happen people die parents aren’t as

happen people die parents aren’t as supportive as we’d hoped and so you

supportive as we’d hoped and so you

supportive as we’d hoped and so you don’t have to identify these events as a

don’t have to identify these events as a

don’t have to identify these events as a trauma in order to be traumatized you

trauma in order to be traumatized you

trauma in order to be traumatized you might not even recognize the aftermath

might not even recognize the aftermath

might not even recognize the aftermath of trauma even if you’re experiencing it

of trauma even if you’re experiencing it

of trauma even if you’re experiencing it but sometimes other people notice the

but sometimes other people notice the

but sometimes other people notice the signs we’ve all seen the symptoms

signs we’ve all seen the symptoms

signs we’ve all seen the symptoms whether we notice it in someone we love

whether we notice it in someone we love

whether we notice it in someone we love or maybe even ourself but maybe we

or maybe even ourself but maybe we

or maybe even ourself but maybe we haven’t exactly had the label for it so

haven’t exactly had the label for it so

haven’t exactly had the label for it so some of these symptoms come up pretty

some of these symptoms come up pretty

some of these symptoms come up pretty often actually we can see the symptoms

often actually we can see the symptoms

often actually we can see the symptoms and sometimes we notice a facial

and sometimes we notice a facial

and sometimes we notice a facial reaction a wince or a far-off look as

reaction a wince or a far-off look as

reaction a wince or a far-off look as someone is experiencing a flashback

someone is experiencing a flashback

someone is experiencing a flashback feeling like they’re reliving that event

feeling like they’re reliving that event

feeling like they’re reliving that event sometimes these flashbacks come in the

sometimes these flashbacks come in the

sometimes these flashbacks come in the form of nightmares

form of nightmares

form of nightmares making it difficult to fall asleep or

making it difficult to fall asleep or

making it difficult to fall asleep or staying asleep making us tired from

staying asleep making us tired from

staying asleep making us tired from restless nights sometimes we see someone

restless nights sometimes we see someone

restless nights sometimes we see someone who’s jumpy or always on edge we all

who’s jumpy or always on edge we all

who’s jumpy or always on edge we all know someone who’s too scared to sit

know someone who’s too scared to sit

know someone who’s too scared to sit with their back to the door at a

with their back to the door at a

with their back to the door at a restaurant and then sometimes in men

restaurant and then sometimes in men

restaurant and then sometimes in men we might even view that as an honorable

we might even view that as an honorable

we might even view that as an honorable or protective act when really it can be

or protective act when really it can be

or protective act when really it can be a sign of trauma sometimes this hyper

a sign of trauma sometimes this hyper

a sign of trauma sometimes this hyper vigilance comes in the form of being the

vigilance comes in the form of being the

vigilance comes in the form of being the fear of being abandoned so maybe we

fear of being abandoned so maybe we

fear of being abandoned so maybe we cling a little too tight or don’t get

cling a little too tight or don’t get

cling a little too tight or don’t get too close to anybody in the first place

too close to anybody in the first place

too close to anybody in the first place for fear that everyone will eventually

for fear that everyone will eventually

for fear that everyone will eventually hurt us or leave us anyway and so there

hurt us or leave us anyway and so there

hurt us or leave us anyway and so there are ways that trauma can change the way

are ways that trauma can change the way

are ways that trauma can change the way that we look at the world the way we

that we look at the world the way we

that we look at the world the way we look at ourselves and others sometimes

look at ourselves and others sometimes

look at ourselves and others sometimes these symptoms come and we’re alone

these symptoms come and we’re alone

these symptoms come and we’re alone without anyone there to witness maybe

without anyone there to witness maybe

without anyone there to witness maybe it’s that nagging feeling that we could

it’s that nagging feeling that we could

it’s that nagging feeling that we could have saved our friend or when we make a

have saved our friend or when we make a

have saved our friend or when we make a mistake at work we hear our mothers

mistake at work we hear our mothers

mistake at work we hear our mothers voice telling us how useless we are

voice telling us how useless we are

voice telling us how useless we are trauma really can change everything and

trauma really can change everything and

trauma really can change everything and so we’ve got to do something about that

so we’ve got to do something about that

so we’ve got to do something about that right because in men trauma can look a

right because in men trauma can look a

right because in men trauma can look a little differently in general men are

little differently in general men are

little differently in general men are more likely to react externally or act

more likely to react externally or act

more likely to react externally or act out experience expressing their fear is

out experience expressing their fear is

out experience expressing their fear is in the form of anger or irritability in

in the form of anger or irritability in

in the form of anger or irritability in America men are more likely to kill and

America men are more likely to kill and

America men are more likely to kill and are responsible for over 90% of all

are responsible for over 90% of all

are responsible for over 90% of all murders these stresses can also express

murders these stresses can also express

murders these stresses can also express themselves in different ways so we can

themselves in different ways so we can

themselves in different ways so we can project the stress onto our

project the stress onto our

project the stress onto our relationships romantic or otherwise have

relationships romantic or otherwise have

relationships romantic or otherwise have difficulty connecting or communicating

difficulty connecting or communicating

difficulty connecting or communicating with others and really just impact the

with others and really just impact the

with others and really just impact the way that we function so there’s a lot

way that we function so there’s a lot

way that we function so there’s a lot going on here

going on here

going on here the point is men are exhibiting symptoms

the point is men are exhibiting symptoms

the point is men are exhibiting symptoms of trauma without realizing that their

of trauma without realizing that their

of trauma without realizing that their symptoms of trauma symptoms are really

symptoms of trauma symptoms are really

symptoms of trauma symptoms are really hiding in plain sight and so we know

hiding in plain sight and so we know

hiding in plain sight and so we know that everyone is affected everyone can

that everyone is affected everyone can

that everyone is affected everyone can be affected

be affected

be affected additionally alcohol and drugs can be a

additionally alcohol and drugs can be a

additionally alcohol and drugs can be a common outcome of experiencing trauma we

common outcome of experiencing trauma we

common outcome of experiencing trauma we sometimes don’t turn to substances as a

sometimes don’t turn to substances as a

sometimes don’t turn to substances as a form of avoidance a coping mechanism so

form of avoidance a coping mechanism so

form of avoidance a coping mechanism so yes

yes

yes avoidance to make things worse as humans

avoidance to make things worse as humans

avoidance to make things worse as humans we have this tendency to avoid we don’t

we have this tendency to avoid we don’t

we have this tendency to avoid we don’t want to

want to

want to talk about things we don’t even want to

talk about things we don’t even want to

talk about things we don’t even want to think about them and sometimes that can

think about them and sometimes that can

think about them and sometimes that can work great for us for a little bit right

work great for us for a little bit right

work great for us for a little bit right but some then we experience these we

but some then we experience these we

but some then we experience these we want to avoid the anxiety so we exit the

want to avoid the anxiety so we exit the

want to avoid the anxiety so we exit the situation when we’re faced with a

situation when we’re faced with a

situation when we’re faced with a trigger like authority figures or the

trigger like authority figures or the

trigger like authority figures or the scent of Cologne that are abusive father

scent of Cologne that are abusive father

scent of Cologne that are abusive father war or maybe the white car like the one

war or maybe the white car like the one

war or maybe the white car like the one from the accident so that strategy works

from the accident so that strategy works

from the accident so that strategy works for a bit but it fails this overtime it

for a bit but it fails this overtime it

for a bit but it fails this overtime it actually makes things worse for us those

actually makes things worse for us those

actually makes things worse for us those thoughts come into our mind more often

thoughts come into our mind more often

thoughts come into our mind more often and we it seems even more unmanageable

and we it seems even more unmanageable

and we it seems even more unmanageable so furthermore there’s a study called

so furthermore there’s a study called

so furthermore there’s a study called the adverse childhood experiences and of

the adverse childhood experiences and of

the adverse childhood experiences and of these 10 types of traumas studies have

these 10 types of traumas studies have

these 10 types of traumas studies have shown that the more types of trauma

shown that the more types of trauma

shown that the more types of trauma experienced the more severe the symptoms

experienced the more severe the symptoms

experienced the more severe the symptoms are in fact individuals who’ve

are in fact individuals who’ve

are in fact individuals who’ve experienced at least four of these types

experienced at least four of these types

experienced at least four of these types of traumas are way more likely to

of traumas are way more likely to

of traumas are way more likely to experience mental and physical problems

experience mental and physical problems

experience mental and physical problems like stroke heart disease and even die

like stroke heart disease and even die

like stroke heart disease and even die up to twenty years sooner so we know

up to twenty years sooner so we know

up to twenty years sooner so we know that not addressing the underlying

that not addressing the underlying

that not addressing the underlying trauma that is fueling these symptoms

trauma that is fueling these symptoms

trauma that is fueling these symptoms can be a big problem the good news is we

can be a big problem the good news is we

can be a big problem the good news is we have treatments and a lot of evidence

have treatments and a lot of evidence

have treatments and a lot of evidence that they work one of these treatments

that they work one of these treatments

that they work one of these treatments is a group trauma treatment that uses

is a group trauma treatment that uses

is a group trauma treatment that uses exposure to the thoughts and the

exposure to the thoughts and the

exposure to the thoughts and the memories of the trauma by telling your

memories of the trauma by telling your

memories of the trauma by telling your story in a specific way and cognitive

story in a specific way and cognitive

story in a specific way and cognitive processing which is learning to

processing which is learning to

processing which is learning to understand to be aware of how you form

understand to be aware of how you form

understand to be aware of how you form these beliefs and challenge the

these beliefs and challenge the

these beliefs and challenge the unhelpful ones like maybe no one can be

unhelpful ones like maybe no one can be

unhelpful ones like maybe no one can be trusted ever and learning some more

trusted ever and learning some more

trusted ever and learning some more helpful coping patterns and ways of

helpful coping patterns and ways of

helpful coping patterns and ways of thinking so taking these things together

thinking so taking these things together

thinking so taking these things together we’re teaching people that not to avoid

we’re teaching people that not to avoid

we’re teaching people that not to avoid the trauma but to actually approach it

the trauma but to actually approach it

the trauma but to actually approach it because yes these things are absolutely

because yes these things are absolutely

because yes these things are absolutely uncomfortable to talk about but they’re

uncomfortable to talk about but they’re

uncomfortable to talk about but they’re not dangerous and doing so we can learn

not dangerous and doing so we can learn

not dangerous and doing so we can learn a way to get through those emotions that

a way to get through those emotions that

a way to get through those emotions that come up and lead more successful lives

come up and lead more successful lives

come up and lead more successful lives without these symptoms interfering so

without these symptoms interfering so

without these symptoms interfering so experience going through these trauma

experience going through these trauma

experience going through these trauma treatment can certainly be done in an

treatment can certainly be done in an

treatment can certainly be done in an individual setting especially because

individual setting especially because

individual setting especially because it’s just you and the therapist that

it’s just you and the therapist that

it’s just you and the therapist that would know what’s going on right but it

would know what’s going on right but it

would know what’s going on right but it can actually be even more useful to

can actually be even more useful to

can actually be even more useful to provide this in a group setting

provide this in a group setting

provide this in a group setting the additional benefits like support and

the additional benefits like support and

the additional benefits like support and validation can come not just from a paid

validation can come not just from a paid

validation can come not just from a paid therapist but also your peers people

therapist but also your peers people

therapist but also your peers people often fear reactions that they get from

often fear reactions that they get from

often fear reactions that they get from others that they might have actually

others that they might have actually

others that they might have actually received before when talking about

received before when talking about

received before when talking about trauma you’ve got shame blame social

trauma you’ve got shame blame social

trauma you’ve got shame blame social rejection invalidation all of that is

rejection invalidation all of that is

rejection invalidation all of that is terrible trauma can make us feel

terrible trauma can make us feel

terrible trauma can make us feel isolated and alone and so when we come

isolated and alone and so when we come

isolated and alone and so when we come together in a group it’s different so

together in a group it’s different so

together in a group it’s different so now imagine experiencing the exact

now imagine experiencing the exact

now imagine experiencing the exact opposite of everything you’ve feared in

opposite of everything you’ve feared in

opposite of everything you’ve feared in this safe confidential and

this safe confidential and

this safe confidential and non-judgmental environment participants

non-judgmental environment participants

non-judgmental environment participants have the opportunity to learn that

have the opportunity to learn that

have the opportunity to learn that they’re not alone other people have gone

they’re not alone other people have gone

they’re not alone other people have gone through similar things and so they can

through similar things and so they can

through similar things and so they can support each other because they’re all

support each other because they’re all

support each other because they’re all in their own stage in a journey of

in their own stage in a journey of

in their own stage in a journey of recovery to getting better they can

recovery to getting better they can

recovery to getting better they can provide that encouragement that support

provide that encouragement that support

provide that encouragement that support that compassion and really work together

that compassion and really work together

that compassion and really work together learning new strategies of how to move

learning new strategies of how to move

learning new strategies of how to move forward okay so it sounds pretty great

forward okay so it sounds pretty great

forward okay so it sounds pretty great right so why aren’t men signing up for

right so why aren’t men signing up for

right so why aren’t men signing up for group treatment

group treatment

group treatment well stigma has former NFL player Joe

well stigma has former NFL player Joe

well stigma has former NFL player Joe ermine once said the three most

ermine once said the three most

ermine once said the three most destructive words that every boy hear

destructive words that every boy hear

destructive words that every boy hear that every man hears when he’s a boy is

that every man hears when he’s a boy is

that every man hears when he’s a boy is when he’s told to be a man societally

when he’s told to be a man societally

when he’s told to be a man societally and culturally men are raised to think

and culturally men are raised to think

and culturally men are raised to think that emotions are a signs of weakness

that emotions are a signs of weakness

that emotions are a signs of weakness and vulnerability they’re told to be

and vulnerability they’re told to be

and vulnerability they’re told to be strong and tough and picked themselves

strong and tough and picked themselves

strong and tough and picked themselves up by their bootstraps and so that’s

up by their bootstraps and so that’s

up by their bootstraps and so that’s really hard to do and kind of sets us up

really hard to do and kind of sets us up

really hard to do and kind of sets us up for failure and they’re also taught that

for failure and they’re also taught that

for failure and they’re also taught that other men don’t have these emotional

other men don’t have these emotional

other men don’t have these emotional experiences it’s not like we see a lot

experiences it’s not like we see a lot

experiences it’s not like we see a lot of examples in mainstream media of men

of examples in mainstream media of men

of examples in mainstream media of men discussing their mental health problems

discussing their mental health problems

discussing their mental health problems most male characters I can think of that

most male characters I can think of that

most male characters I can think of that even discuss mental health are portrayed

even discuss mental health are portrayed

even discuss mental health are portrayed as gay or socially rejected even women

as gay or socially rejected even women

as gay or socially rejected even women are featured in the advertisements for

are featured in the advertisements for

are featured in the advertisements for depression commercials or seen in films

depression commercials or seen in films

depression commercials or seen in films reaching out for support these

reaching out for support these

reaching out for support these stereotyped and gendered portrayals only

stereotyped and gendered portrayals only

stereotyped and gendered portrayals only further instigate the reluctance of men

further instigate the reluctance of men

further instigate the reluctance of men to seek help

to seek help

to seek help so expressing and experiencing these

so expressing and experiencing these

so expressing and experiencing these emotions is somehow even is counter to

emotions is somehow even is counter to

emotions is somehow even is counter to the concept of masculinity but emotions

the concept of masculinity but emotions

the concept of masculinity but emotions are important they give us information

are important they give us information

are important they give us information they communicate with other

they communicate with other

they communicate with other and they help us process the world

and they help us process the world

and they help us process the world around us so we kind of need those as

around us so we kind of need those as

around us so we kind of need those as children boys and girls begin equally

children boys and girls begin equally

children boys and girls begin equally emotional and expressive but even well

emotional and expressive but even well

emotional and expressive but even well intending adults start to interpret

intending adults start to interpret

intending adults start to interpret behavior through gendered lenses even as

behavior through gendered lenses even as

behavior through gendered lenses even as young as infants adults will interpret

young as infants adults will interpret

young as infants adults will interpret behavior the same facial response and as

behavior the same facial response and as

behavior the same facial response and as fear if they’re told the infant is a

fear if they’re told the infant is a

fear if they’re told the infant is a girl and anger if they’re told the

girl and anger if they’re told the

girl and anger if they’re told the infant is a boy so by the age of three

infant is a boy so by the age of three

infant is a boy so by the age of three to five years old boys are actually

to five years old boys are actually

to five years old boys are actually starting to show signs of hiding their

starting to show signs of hiding their

starting to show signs of hiding their emotions three to five years old so take

emotions three to five years old so take

emotions three to five years old so take this history this culture and combine

this history this culture and combine

this history this culture and combine that with this tendency to avoid and now

that with this tendency to avoid and now

that with this tendency to avoid and now it makes sense why men aren’t eager to

it makes sense why men aren’t eager to

it makes sense why men aren’t eager to sign up for group treatment talk about

sign up for group treatment talk about

sign up for group treatment talk about their past experiences and current

their past experiences and current

their past experiences and current difficulties with the group of other men

difficulties with the group of other men

difficulties with the group of other men I get it it’s tough so let me illustrate

I get it it’s tough so let me illustrate

I get it it’s tough so let me illustrate this point for you with two examples of

this point for you with two examples of

this point for you with two examples of people I’ve met in real life in

people I’ve met in real life in

people I’ve met in real life in recruiting for trauma treatment groups

recruiting for trauma treatment groups

recruiting for trauma treatment groups in the community so in the first session

in the community so in the first session

in the community so in the first session of a trauma treatment group at a local

of a trauma treatment group at a local

of a trauma treatment group at a local women’s prison I met a woman at the

women’s prison I met a woman at the

women’s prison I met a woman at the first session who said well you know I

first session who said well you know I

first session who said well you know I had this trauma

had this trauma

had this trauma well she had actually heard the

well she had actually heard the

well she had actually heard the recruitment story several times before

recruitment story several times before

recruitment story several times before she even got to sit in that room she

she even got to sit in that room she

she even got to sit in that room she said I was hesitant to sign up and I

said I was hesitant to sign up and I

said I was hesitant to sign up and I still don’t know if this group is right

still don’t know if this group is right

still don’t know if this group is right for me and she said she experienced

for me and she said she experienced

for me and she said she experienced something bad and she was younger but it

something bad and she was younger but it

something bad and she was younger but it was so long ago that you know she

was so long ago that you know she

was so long ago that you know she doesn’t think it affects her anymore

doesn’t think it affects her anymore

doesn’t think it affects her anymore and she was quiet for the first few

and she was quiet for the first few

and she was quiet for the first few weeks as other people expressed their

weeks as other people expressed their

weeks as other people expressed their symptoms of having difficulty trusting

symptoms of having difficulty trusting

symptoms of having difficulty trusting people and sort of missing out on

people and sort of missing out on

people and sort of missing out on opportunities because they were too

opportunities because they were too

opportunities because they were too scared they had this anxiety but

scared they had this anxiety but

scared they had this anxiety but eventually she started to share too and

eventually she started to share too and

eventually she started to share too and it was affecting her by these intrusive

it was affecting her by these intrusive

it was affecting her by these intrusive nightmares and she was having

nightmares and she was having

nightmares and she was having promiscuous sex and discussed that she

promiscuous sex and discussed that she

promiscuous sex and discussed that she actually had started using drugs to numb

actually had started using drugs to numb

actually had started using drugs to numb out those feelings – so these symptoms

out those feelings – so these symptoms

out those feelings – so these symptoms were really intruding in her life she

were really intruding in her life she

were really intruding in her life she didn’t want to give up recreation time

didn’t want to give up recreation time

didn’t want to give up recreation time to come and be there and talk about that

to come and be there and talk about that

to come and be there and talk about that but she shared her story of child sexual

but she shared her story of child sexual

but she shared her story of child sexual abuse in that fourth session of group by

abuse in that fourth session of group by

abuse in that fourth session of group by the end of the eight-week treatment this

the end of the eight-week treatment this

the end of the eight-week treatment this woman had reported decrease in

woman had reported decrease in

woman had reported decrease in of PTSD anxiety and depression and all

of PTSD anxiety and depression and all

of PTSD anxiety and depression and all of these gains were maintained at least

of these gains were maintained at least

of these gains were maintained at least three months after treatment when we

three months after treatment when we

three months after treatment when we followed up so it was the supportiveness

followed up so it was the supportiveness

followed up so it was the supportiveness of the encouragement of the prison staff

of the encouragement of the prison staff

of the encouragement of the prison staff as well as the supportiveness of the

as well as the supportiveness of the

as well as the supportiveness of the clinicians that engaged her in treatment

clinicians that engaged her in treatment

clinicians that engaged her in treatment but really it was the examples of the

but really it was the examples of the

but really it was the examples of the other women the other women sharing

other women the other women sharing

other women the other women sharing their stories and encouraging her to

their stories and encouraging her to

their stories and encouraging her to stay so in contrast I met a man at a

stay so in contrast I met a man at a

stay so in contrast I met a man at a local drug court facility when

local drug court facility when

local drug court facility when recruiting in the community there and he

recruiting in the community there and he

recruiting in the community there and he said he had a hard life but he didn’t

said he had a hard life but he didn’t

said he had a hard life but he didn’t experience trauma

experience trauma

experience trauma I was never raped or anything he said

I was never raped or anything he said

I was never raped or anything he said and so he said some he basically was

and so he said some he basically was

and so he said some he basically was like okay you know so this happened to

like okay you know so this happened to

like okay you know so this happened to me when I was young but you know he so

me when I was young but you know he so

me when I was young but you know he so what happened to him is he said his

what happened to him is he said his

what happened to him is he said his father used to hit him his siblings and

father used to hit him his siblings and

father used to hit him his siblings and especially his mom and he said well that

especially his mom and he said well that

especially his mom and he said well that doesn’t really bother me now and you

doesn’t really bother me now and you

doesn’t really bother me now and you want me to go to treatment just because

want me to go to treatment just because

want me to go to treatment just because my dad hit me everybody I know has a

my dad hit me everybody I know has a

my dad hit me everybody I know has a story like this why would I do that

story like this why would I do that

story like this why would I do that besides he was too busy for group with

besides he was too busy for group with

besides he was too busy for group with everything going on with drug court and

everything going on with drug court and

everything going on with drug court and he had bills to pay he was working all

he had bills to pay he was working all

he had bills to pay he was working all the time and he said he was trying to

the time and he said he was trying to

the time and he said he was trying to pay child support for these kids he

pay child support for these kids he

pay child support for these kids he didn’t even get to visit and that was

didn’t even get to visit and that was

didn’t even get to visit and that was the moment where I saw the sadness in

the moment where I saw the sadness in

the moment where I saw the sadness in his eyes so he says he’s over it but his

his eyes so he says he’s over it but his

his eyes so he says he’s over it but his drug court counselor tells us that he’s

drug court counselor tells us that he’s

drug court counselor tells us that he’s actually missing appointments a lot of

actually missing appointments a lot of

actually missing appointments a lot of the time he’s getting angry and group

the time he’s getting angry and group

the time he’s getting angry and group settings and he’s sort of joking about

settings and he’s sort of joking about

settings and he’s sort of joking about everything that’s happened to him and

everything that’s happened to him and

everything that’s happened to him and not taking it seriously

not taking it seriously

not taking it seriously which is another form of avoidance so

which is another form of avoidance so

which is another form of avoidance so these symptoms these seemingly normal

these symptoms these seemingly normal

these symptoms these seemingly normal behaviors are actually symptoms of

behaviors are actually symptoms of

behaviors are actually symptoms of trauma and they’re interfering with his

trauma and they’re interfering with his

trauma and they’re interfering with his life at this point but he said no thank

life at this point but he said no thank

life at this point but he said no thank you

you

you he and I respected that autonomy so we

he and I respected that autonomy so we

he and I respected that autonomy so we told each other to have a good day and

told each other to have a good day and

told each other to have a good day and that was the end of our interaction see

that was the end of our interaction see

that was the end of our interaction see I wanted to tell you a story that was

I wanted to tell you a story that was

I wanted to tell you a story that was successful but I don’t have that because

successful but I don’t have that because

successful but I don’t have that because this kept happening man after man sounds

this kept happening man after man sounds

this kept happening man after man sounds frustrating huh

frustrating huh

frustrating huh actually it’s more disappointing to me

actually it’s more disappointing to me

actually it’s more disappointing to me in that as you could see these women

in that as you could see these women

in that as you could see these women were really benefiting from group they

were really benefiting from group they

were really benefiting from group they loved the experience they loved

loved the experience they loved

loved the experience they loved connecting

connecting

connecting other women and they really like being

other women and they really like being

other women and they really like being bothered by those symptoms a little bit

bothered by those symptoms a little bit

bothered by those symptoms a little bit less but these men denied themselves

less but these men denied themselves

less but these men denied themselves that opportunity they didn’t want to

that opportunity they didn’t want to

that opportunity they didn’t want to participate and so we didn’t get a group

participate and so we didn’t get a group

participate and so we didn’t get a group going for males at that time so what are

going for males at that time so what are

going for males at that time so what are we get to do about that act one place

we get to do about that act one place

we get to do about that act one place where we look as an example is the

where we look as an example is the

where we look as an example is the Department of Veteran Affairs the VA

Department of Veteran Affairs the VA

Department of Veteran Affairs the VA actually has men engaged in trauma

actually has men engaged in trauma

actually has men engaged in trauma treatment groups how did they do that

treatment groups how did they do that

treatment groups how did they do that it’s so popular there they sometimes

it’s so popular there they sometimes

it’s so popular there they sometimes even have a wait list well it wasn’t an

even have a wait list well it wasn’t an

even have a wait list well it wasn’t an overnight achievement for them either

overnight achievement for them either

overnight achievement for them either it took about 20 years from the time

it took about 20 years from the time

it took about 20 years from the time that they decided to hire a clinical

that they decided to hire a clinical

that they decided to hire a clinical psychologist to develop and improve

psychologist to develop and improve

psychologist to develop and improve treatments to serve male populations and

treatments to serve male populations and

treatments to serve male populations and then encourage men to sign up and

then encourage men to sign up and

then encourage men to sign up and increase recruitment so what it took

increase recruitment so what it took

increase recruitment so what it took there was this huge culture shift within

there was this huge culture shift within

there was this huge culture shift within the organization from the top down from

the organization from the top down from

the organization from the top down from the management to staff and permeating

the management to staff and permeating

the management to staff and permeating throughout the ranks of veterans that

throughout the ranks of veterans that

throughout the ranks of veterans that not only was help available but that

not only was help available but that

not only was help available but that they could utilize it to go to help

they could utilize it to go to help

they could utilize it to go to help recover from what they’ve been through

recover from what they’ve been through

recover from what they’ve been through in their service in order to utilize

in their service in order to utilize

in their service in order to utilize those services men had to recognize two

those services men had to recognize two

those services men had to recognize two things one they were affected by their

things one they were affected by their

things one they were affected by their experiences and two treatment could help

experiences and two treatment could help

experiences and two treatment could help they had to be encouraged to do that so

they had to be encouraged to do that so

they had to be encouraged to do that so similar to what happened at the VA

similar to what happened at the VA

similar to what happened at the VA society at large could really benefit

society at large could really benefit

society at large could really benefit from a culture shift this here is my

from a culture shift this here is my

from a culture shift this here is my top-down approach I’m coming to you as a

top-down approach I’m coming to you as a

top-down approach I’m coming to you as a clinical psychologist in training

clinical psychologist in training

clinical psychologist in training talking to you engaged in interested

talking to you engaged in interested

talking to you engaged in interested people about what I’ve seen men

people about what I’ve seen men

people about what I’ve seen men struggling and not realizing that they

struggling and not realizing that they

struggling and not realizing that they don’t have to and that they can still

don’t have to and that they can still

don’t have to and that they can still keep their man card if they ask for help

keep their man card if they ask for help

keep their man card if they ask for help so what are we supposed to do we’ve got

so what are we supposed to do we’ve got

so what are we supposed to do we’ve got to figure it out at this point we’ve got

to figure it out at this point we’ve got

to figure it out at this point we’ve got to tackle the barriers and I’m not

to tackle the barriers and I’m not

to tackle the barriers and I’m not saying I’m the first one to do this

saying I’m the first one to do this

saying I’m the first one to do this don’t get me wrong there have been

don’t get me wrong there have been

don’t get me wrong there have been attempts from within the field before to

attempts from within the field before to

attempts from within the field before to do that for example there’s a website

do that for example there’s a website

do that for example there’s a website called man therapy org and it utilizes

called man therapy org and it utilizes

called man therapy org and it utilizes the existing stereotypes of strong men

the existing stereotypes of strong men

the existing stereotypes of strong men with facial hair and uses colloquial

with facial hair and uses colloquial

with facial hair and uses colloquial language like when where he grabs you by

language like when where he grabs you by

language like when where he grabs you by the balls or it’s okay to cry even if

the balls or it’s okay to cry even if

the balls or it’s okay to cry even if it’s not about sports

it’s not about sports

it’s not about sports that’s a great start right but we need

that’s a great start right but we need

that’s a great start right but we need more and it’s going to take all of us to

more and it’s going to take all of us to

more and it’s going to take all of us to make that shift we’re working to create

make that shift we’re working to create

make that shift we’re working to create safe places but they have to be utilized

safe places but they have to be utilized

safe places but they have to be utilized to be effective we’re changing the

to be effective we’re changing the

to be effective we’re changing the language that we use in recruitment

language that we use in recruitment

language that we use in recruitment we’re also trying to increase awareness

we’re also trying to increase awareness

we’re also trying to increase awareness in the public of everything that’s gone

in the public of everything that’s gone

in the public of everything that’s gone on so that we know about the impact of

on so that we know about the impact of

on so that we know about the impact of trauma so here I am today and yet it’s

trauma so here I am today and yet it’s

trauma so here I am today and yet it’s still going to take a community of

still going to take a community of

still going to take a community of people to support men and help them

people to support men and help them

people to support men and help them realize that some of the difficulties

realize that some of the difficulties

realize that some of the difficulties they’re going through might be an

they’re going through might be an

they’re going through might be an expected result of what’s happened to

expected result of what’s happened to

expected result of what’s happened to them so let’s do this together let’s

them so let’s do this together let’s

them so let’s do this together let’s teach children and we’ve got to teach

teach children and we’ve got to teach

teach children and we’ve got to teach children and adults to be aware of their

children and adults to be aware of their

children and adults to be aware of their emotions to recognize them and to

emotions to recognize them and to

emotions to recognize them and to respond to them with compassion we

respond to them with compassion we

respond to them with compassion we recognize that it’s unfair and you don’t

recognize that it’s unfair and you don’t

recognize that it’s unfair and you don’t have to feel this way anymore we’re

have to feel this way anymore we’re

have to feel this way anymore we’re ready to reward the strength that it

ready to reward the strength that it

ready to reward the strength that it takes because it takes more strength to

takes because it takes more strength to

takes because it takes more strength to ask for help than it does to suffer

ask for help than it does to suffer

ask for help than it does to suffer alone so when we’re ready to step up

alone so when we’re ready to step up

alone so when we’re ready to step up we’re here for you more help is on the

we’re here for you more help is on the

we’re here for you more help is on the way when you’re ready to fight for it

way when you’re ready to fight for it

way when you’re ready to fight for it thank you

thank you

thank you [Applause]

”

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