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CATHOLIC CHARITIES Diocese of Cleveland

RESOURCE GUIDE

EMDR THERAPY Eye Movement Desensitization & Reprocessing

No Woman No Cry Congenital Insensitivity to Pain (CIP)

RECOVERY U STUDENTS FIRST

COPING WITH DISCR MINATION

Prevention ON WHEELS

Catholic Charities Diocese of Cleveland CONTACT US TODAY! 440.843.5522 ccdocle.org 6753 State Rd Parma, OH 44134

EMDR Therapy What is EMDR therapy and how does it work? EMDR is the acronym for Eye Movement Desensitization and

Reprocessing. It was created by Francine Shapiro in 1987 and is now recommended by the Department of Veteran’s Affairs, the American Psychiatric Association, and most recently World Health Organization as very effective and efficient at helping people process traumatic events. Here is a list of typical problems that people seek EMDR therapy for: • Childhood or Adult Abuse • Extreme Illness or Grief • Post Traumatic Stress Disorder • Anger • Car Accidents • Sexual Traumas • Assault Trauma • Emotional Pain, Emotional Outbursts • Relationship problems • Phobias (including social ones) • Low Self-Confidence or Self Image • Sadness, Depression & Anxiety • Sleep Problems

EMDR is the acronym for Eye Movement Desensitization and Reprocessing.

• Intrusive thoughts, flashbacks • Being “on guard” all the time • Being Jumpy or Irritable • Substance abuse • Numbed Emotions

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Fortunately not everyone has experienced extreme neglect or trauma, however, we have all experienced being humiliated, feeling rejected, unimportant, having our emotions hurt one way or another and all of these incidences are what we call “little t-trauma” that “help” reinforce the negative beliefs we have created in our minds usually from childhood experiences.These negative beliefs (negative cognitions as we call them in EMDR) lead to automatic responses every time we get “triggered” and we react in ways that is not authentic to who we are now or how we WANT to respond.

These negative beliefs (negative cognitions as we call them in EMDR) lead to automatic responses every time we get “triggered” and we react in ways that is not authentic to who we are now or how we WANT to respond.

When we do EMDR we use bilateral stimulation, which could be eye- movements from side to side, wearing headphones that produce a tone going from one ear to the other, or holding small paddles in your hands that vibrate slightly and produce bilateral stimulation kinetically.There is a specific 8 step protocol that the EMDR trained therapist guides you through which “untangles” the memory and finally allows your brain to store it properly so that it no longer creates those knee-jerk reactions from you that do not serve you well. If you are feeling “stuck” and unable to move beyond the things that are holding you back, call me at (386) 492-0778 and let us discuss how we can get you where you want to be.

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CONTACT US TODAY! 440.843.5522 ccdocle.org 6753 State Rd Parma, OH 44134

STUDY METHODOLOGY Studying mice genetically modified to be without the Nav1.7 channel, Wood found that such mice had bodies that dis- played a large increase in certain genes responsible for creating opioid peptides. Opioid peptides occur naturally in the body as the body’s painkiller and have a similar effect as opioids. In making more of the opioid pep- tides, the mice were blocking any feelings of pain, which might be the reason people suffering from CIP also don't feel pain. Wood thought that if he gave mice a medicine that reversed the effect of the opioid peptides, it may reverse the disorder. He gave the mice naloxone—a medication used to reverse opioid overdoses—and it worked. Wood figured the same could be done for humans. “After a decade of rather disap- pointing drug trials, we now have confirmation that Nav1.7 is a key element in human pain,” Woods says. “The secret ingredient turned out to be good old-fashioned opioid peptides, and we have now filed a patent for combining low dose opioids with Nav1.7 blockers. This should replicate the pain- lessness experienced by people with rare mutations, and we have already successfully tested this approach in unmodified mice.” CONGENITAL INSEN- SITIVITY TO PAIN (CIP) is a very rare genetic mu- tation that prevents mes- sages of physical pain from reaching the brain.

Research researcher and his team of researchers studied a 39-year-old woman with CIP. Using a laser beam and a dose of naloxone, Wood helped the woman, who elected to partici- pate anonymously, feel pain for the first time in her life. “Used in combination with Nav1.7 blockers, the dose of opioid needed to prevent pain is very low,” says Wood in an UCL release. “People

Using a test subject with a ge- netic mutation that prevents her from feeling pain, scientists have conducted research that shows promise in creating more effec- tive painkillers—and potentially decreasing the need for addictive opioids. Congenital insensitivity to pain (CIP) is a very rare genetic muta- tion that prevents messages of physical pain from reaching the brain. Sufferers of the disorder, as babies, will chew their lips until they bleed. Toddlers have to deal with more potential for falls, bumps and being hurt by hot or sharp things. Adults are at a high- er risk of dying prematurely. The disorder leaves those afflict- ed without channels known as Nav1.7, which carry sodium to sensory nerves. Understanding this disorder and channels of pain reception and delivery has led re- searchers to study the disorder for ways to block pain in those who don't have the disorder. Research- ers thought they could block pain transporting channels in people without CIP so they can help those with chronic and painful ailments like arthritis. HELPING A WOMAN CRY In a study published by the journal Nature, John Wood, a University College London (UCL) Wolfson Institute for Biomedical

with nonfunctioning Nav1.7 produce low levels of opioids throughout their lives without de- veloping tolerance or experiencing unpleasant side effects.”

As for this work leading to com- plete cessation of pain, Wood tells the New Scientist that some research has found success, but nothing has led to the complete pain loss found in those that are naturally without Nav1.7 channels.

who doesn’t feel the Woman WHAT THE FUTURE HOLDS.... As for people with CIP, Woods says he doesn't know if treatment using nalox- one is an option. Long-term use of naloxone could have side effects. What Woods can say, definitively, is that the mice in the experiment felt as little pain as mice who did not have the Nav1.7 channel naturally. Woods, his team, and the rest of the field are working to fill in the re- search gaps to start answering these questions for humans. “We hope to see our approach tested in human trials by 2017 and

Could help in making better painkillers.

we can then start looking into drug combinations to help the millions of chronic pain patients around the world,” Woods says. Imperial College London professor Kenji Okuse reacted to Wood’s findings to the New Scientist, saying that the research will provide more information to doc- tors about pain.

We hope to see our

“Opioids and Nav1.7 blockers could provide much stronger analgesics, but they will not necessarily be better for patients,” Okuse says. “If we take the combination therapy route, people would have to take opioids throughout the lifetime, which is not a welcome thing.”

approach tested in human trials by 2017 and we can then start looking

into drug combinations to help the millions of chronic pain patients around the world. — John Wood, University College London Wolfson Institute for Biomedical Research researcher

Catholic Charities Diocese of Cleveland CONTACT US TODAY! 440.843.5522 ccdocle.org 6753 State Rd Parma, OH 44134

Discrimination, whether based on race, gender, or sexual orientation, has long been thought to be a contributor to substance abuse. Now a new study has confirmed the relationship between discrimination and addiction, but it’ s also brought up many more questions that still need to be answered in order to improve treatment outcomes. Researchers at the University of Iowa recently com - pleted a peer review study in which they looked at 97 previous studies on discrimination and alcohol use. Their goal was to summarize the collective knowl - edge researchers have uncovered throughout the years, and what they found confirmed in more detail what many had previously suspected.

“Generally there is good scientific support, but the evidence is mixed for different groups and for types of discrimination.” - Dr.Paul Gilbert, University of Iowa

overtly racist or sexist to another person. But less research has been done on what are known as mi - cro-aggressions, small everyday occurrences that can rub a person the wrong wa y. That research is improving, but there are other factors that need to be more fully explored. While studies have looked at historical trauma in the African-American popula - tion, the concept has not been fully investigated with regards to Hispanic and Asian populations. “This notion of historic trauma could be really rel - evant to other groups, but it hasn't received much attention at all,” D r. Gilbert says. “This is something we should pay attention to.” All of this adds up to the fact that treatment provid - ers may be missing a key piece of the substance abuse puzzle.

The team found that discrimination did indeed lead to an increase in drinking frequenc y , quantity of alcohol consumed, and in the risk for alcohol use disorders. Researchers say drinking can represent a coping mechanism in response to the stress caused by discrimination, and several studies showed clients acknowledging this direct link themselves. But when looking at specific populations and types of discrimi - nation, the picture becomes less clea r. “The story is that generally there is good scientif - ic support, but the evidence is mixed for different groups and for types of discrimination,” says D r. Paul Gilbert, the study’s lead author. “We don’t real- ly know comparing one type or one level to anothe r .” For example, much research has been done on inter - personal discrimination where someone is

But just because the intricacies of how discrimination affects drink - ing aren’t yet fully understood, that doesn’t mean our current knowledge base can’t be helpful. D r . Gilbert says simply knowing that experiences with discrimination can drive drinking could in - form the way treatment providers interact with clients, opening new areas of their lives to explore during treatment. “It can serve as sort of an early warning or indicato r ,” D r. Gilbert says. “For treatment providers, it ’ s worth looking at: is there some - thing that may be keeping folks from accessing services or affecting outcomes?”

Dr . Gilbert says treatment providers should continue to address discrimination as part of a holistic approach to recover y . He says it will be up to researchers to fill

in the gaps to find the precise ways that discrimination affects drinking behavio r. “W e’ve got good evidence on this level of interpersonal discrimination,” D r. Gilbert says. “W e’ve gotten the low-hanging fruit, now it’ s time to start working on the stuff that’ s a little further up the tree.”

“It can serve as sort of an early warning or indicator.” - Dr. Paul Gilbert, University of Iowa

Catholic Charities Diocese of Cleveland CONTACT US TODAY! 440.843.5522 ccdocle.org 6753 State Rd Parma, OH 44134

Prevention On Wheels BMXlife gives opportunities to at-risk youth through BMX bikes “I see the bikes as a means to get through to kids about other initiatives.” - David “Joby” Suender outreach coordinator and assistant to the president at ODAAT

BMXlife is a One Day at a Time (ODAAT) youth initiative that launches this summer to get kids on the streets - in a positive way. In its inaugural season, kids will learn pedestrian and bike safety, as well as the “rules of the road,” says David “Joby” Suender of ODAAT, who started the initiative. Many participants do not have access to bikes at home, so it could be their first time putting foot to pedal on one of 10 new bikes the program provides.

Beyond the riding, Suender hopes to convey bigger messages of pre- vention. “I see the bikes as a means to get through to kids about other initiatives - violence, drugs, healthy living,” he says.

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Philly freestylin’ Once they learn the basics, their sur- roundings provide ample room to progress. Suender says Philadelphia is particularly well-suited for BMX riding in particular, a form that can involve performing tricks on manmade features in the cityscape. “It’s great because of the environment that’s readily available to these kids,” Su- ender says. He goes on to describe the city’s features, historic and contemporary, that provide a wealth of obstacles for BMXers to tack- le. The city has been featured numerous times in skateboard and BMX videos, and a rider need not travel far to find a handrail to grind down, or a concrete ledge to jump off.

Two wheels, endless opportunities For those less inclined to the thrill of street riding, BMXlife covers many alternative aspects of riding. Suender says there are other valuable opportunities that biking can offer. He says having a hobby like biking can keep kids motivated and focused on something other than gangs and street life. The physical activity promotes healthy living, and the bike itself can serve as a sustainable means of transportation. Taking a look at the broader BMX industry, Suender says he will educate kids on filming, editing, photography and the mechanics of bike repair. “Maybe one of the kids won’t be into the riding aspect, but they’ll be into the mechanical side, or the filming and editing,” Suender says. “This will set them up with interests they can pursue down the road.” They are all skills Suender has successfully employed in his own BMX career. He says that BMX riding has enabled him to travel domestically and abroad, with his riding featured in videos, maga- zines and websites. It lends credibility to his message for the kids he works with, that they can do whatever they put their mind to. No matter which direction BMXlife leads its participants, the BMX culture presents opportunities that might not reach the kids through other media. And at the very least, Suender’s leadership sets an example for kids at risk. “I’m trying to provide a male role model and mentorship,” he says, “because a lot of these kids are coming from broken homes and don’t have any other outlets.” “Maybe one of the kids won’t be into the riding aspect, but they’ll be into the mechanical side, or the filming and editing. This will set them up with interests they can pursue down the road.” - David “Joby” Suender

Catholic Charities Diocese of Cleveland CONTACT US TODAY! 440.843.5522 ccdocle.org 6753 State Rd Parma, OH 44134

INSERT 5

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“It’s really just about being around like-minded people and developing that ‘we’ as a support system.”

– Dr. Gerard Love, Slippery Rock University

INSERT 5 “It’s really just about being around like-minded people and developing that ‘we’ as a support system,” Dr. Love says. Dr. Love says simply having a recovery space

“Universities are supposed to be about dialogue, and having this is a great opportunity for dialogue,” Dr. Love says. “Bringing this whole notion of addiction out of the shadows and increasing understanding, I think will be a good byproduct of this.”

on a college campus could help change perceptions about recovery and remove the stigma surrounding addiction.

Of cials at the University of Minnesota – Rochester will also be opening a new recovery LLC for the fall 2016 semester. Of cials say it’s necessary to provide recovering students with the tools they need to succeed academically and in their personal lives. “Historically, students who are in recovery really struggle to come back to campus without that [supportive housing] program,” says Kris Barry, the school’s health and wellness advocate. The LLC will house six to 10 students and feature evidence-based recovery programming. Of cials say the LLC speaks to the school’s mission as a health-focused university. But more than that, they say they hope to foster a culture of personal growth among all students, particularly those in recovery. “I see them as being leaders here on campus and then taking that and changing the dialogue about addiction,” Barry says. “We know that the traditional college experience can be hostile to the goals of anyone in recovery, and we want to support them as much as possible.”

Boyd Austin says student communities centered on recovery provide a welcome relief for students to explore their university in a supportive and positive way. “It o ers a space, it o ers a culture, it o ers a community of people who are engaging in college in the same way,” Boyd Austin says.

Experts say universities are increasingly adding recovery programs focused on creating a community among students, but ones incorporating housing are still few and far between. “This started about 30 years ago, but it has really taken off in the last 10 years,” says Amy Boyd Austin, president-elect of the Association of Recovery in Higher Education.

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CONTACT US TODAY!

440.843.5522 ccdocle.org

6753 State Rd Parma, OH 44134

ccdocle.org

Providing help. Creating hope. Serving all.

6753 STATE RD. PARMA, OH 44134 • (440) 843-5522 • ccdocle.org