Trauma Awareness and Treatment Center

Reasons People Don’t Let Go of their Pain

To wish to be well is part of becoming well.  Seneca

Premature forgiveness

Identity

shame or feeling unworthy

I don’t deserve to feel better

it’s punishment

it’s power

If the pain is dealt with the trauma really happened

It’s a role

It’s a way of connecting to the environment and others

It’s companionship when lonely

I pain therefore I am

It distracts you from other pain, problems, and things

It is a way of avoiding responsibility

It keeps you from dealing with issues or people-It simplifies life

If you are a victim of pain you don’t have to be accountable

Meaning in pain- martyrdom

It’ a way of getting drugs.

Altered state of consciousness

The pain is part of the belief system

It’s an escape

What if I’m whole and not good enough?

What am I going to do without pain?

I’m afraid to be whole-no more excuses

Pride-I can’t just be the person I am, what of you is there really without it?

Self-acceptance is a problem.  Pain makes it less an issue.

Fear-of the unknown.

DUAL DIAGNOSIS OF TRAUMA & SUBSTANCE USE
ASSESSMENT TOOL

Name:__________ __________________ Date: _____________Birthdate: Age:

Relationship Status:  Single  Married  Divorced  Separated  Partner

We recognize it is difficult to share personal information. The following confidential assessment is intended to identify areas in which we may help you overcome challenges and solve problems that could interfere with the improvement and progress you desire to make.

SECTION 1: PROBLEMS TO SOLVE:

Do you have family or friends close by who you can call to help you when you need it?  yes  no

On a scale from 1 to 10 (1 being the lowest and 10 being the highest) , Please rate the following questions:

What is your current stress level? 1 2 3 4 5 6 7 8 9 10
What would you say are the causes for the stress in your life?  children  spouse/relationship  money  employment  health problems/pain  social  other 
Where would you rate your individual self esteem? 1 2 3 4 5 6 7 8 9 10
What contributes most to your self esteem?
What would you rate the level of control over your life? 1 2… Continue reading →

LIFE SKILLS QUESTIONNAIRE

Instructions: Check the life skills you want to work on the most right now.
For choice D, write in something that isn’t listed. (For example, under self-esteem, you could write a problem or a person that effects your self-esteem).

DEALING WITH YOURSELF

Self-Esteem
A. ___ Believing in yourself
B. ___ Forgiving yourself
C. ___ Changing to positive self-talk
D. ___ _______________________________

Peace of Mind & Happiness
A. ___ Keeping peace of mind and happiness
B. ___ How to forgive and let go
C. ___ Self-validation
D. ___ _______________________________

Overcoming Your Weaknesses
A. ___ Stopping feeling sorry for yourself
B. ___ How not to over-react
C. ___ Dealing with life’s problems
D. ___ _______________________________

Being Healthy for Life
A. ___ Dealing with fatigue
B. ___ Improving sleep
C. ___ Natural medicines for your health
D. ___ _______________________________

Changing Yourself
A. ___ Knowing how to change
B. ___ Not trying to change others
C. ___ Finding motivation to change
D. ___ _______________________________

Dealing with Depression
A. ___ Changing how you think
B. ___ Getting energy
C. ___ Doing what you used to do to be happy
D. ___ _______________________________

Dealing with Anger & Rage
A. ___ Dealing with anger… Continue reading →

DISCOVERING PERSONAL STRENGTHS
INVENTORY

Name Date

What Mattered Then and What Matters Now

1. As a child I dreamed:

2. My dream now is

3. My childhood strengths were (artistic ability, sense of humor, sensitivity, etc.)

4. My strengths now are:

5. I felt happy when:

6. I felt strong when:

7. Three things that mattered most to me in the past are:

8. Three things that matter most to me now are:

9. Is there anything that mattered to me before that still matters to me now that I’ve forgotten? If so, what is it?

10. If I woke up tomorrow and had my dream life what would it be like?

How I Coped Then and How I Cope Now
1. As a child, when I was sad or upset I turned to (check any that apply):
A parent A sibling A peer A teacher A grandparent A neighbor Family Friend Member of my, religious faith Kept to myself The family pet A toy or object T.V. Other

2. Before 16, I felt the most comfort from involvement with: People Animals Nature God Art Reading Dance Music Writing Athletics Other

3. When I was a child, I most wanted to grow up… Continue reading →

Stress Check

Give yourself one point for each “yes” answer:

 1. Y   N Do you have difficulty relaxing?

2. Y   N Do you find yourself feeling irritable?

3. Y   N Do you worry about little events of the day, and are unable to
shut your mind off?

4. Y   N Do you smoke or drink excessively (especially by others’
standards)?

5. Y   N Are you addicted to caffeinated drinks?

6. Y   N Are you competitive and aggressive in the things you do?

7. Y   N Do you find it hard to relate to people?

8. Y   N Do you find that you are impatient with others?

9. Y   N Do you eat quickly?

10. Y   N Do you take on too much?

11. Y   N Do you have difficulty delegating

12. Y   N Do you have aching limbs or recurrent headaches?

13. Y   N Do you have a dry mouth and sweaty palms?

14. Y   N Do you feel a lack of interest in sex?

15. Y   N Are your muscles tense?

16. Y   N Do you have problems sleeping?

 _____ Total

If
your score is below 5, you’re in fine shape and able to take life in… Continue reading →

STAGES
OF CHANGE SCALE (SCS)

Name: _______________________________ Therapist: ______________________________ Date: ___________________

INSTRUCTIONS:
Each statement below describes how a person might feel when starting therapy or approaching problems in their lives.  Please indicate the extent to which you tend to agree of disagree with each statement. In each case, make your choice in terms of how you feel right now not what you have felt in the past or what you would like to feel.

	What brought you to counseling (check only one): __Self-referred P = Pre-contemplation __Referred by religious leader C = Contemplation __Referred by court or legal system A = Action __Referred by employer M = Maintenance __Referred or encouraged by family member or spouse	Strongly diaagree	Disagree	Neutral	Agree	Strongly Agree
1.	As far as I’m concerned, I don’t have any problems that need change.	1	2	3	4	5	P
2.	I  think I might by ready for some self improvement	1	2	3	4	5	C
3.	I  am doing something about the problems that have been bothering me	1	2	3	4	5	A
4.	It  might be worthwhile to work on my problems	1	2	3	4	5	C
5.	I’m  not the problem one. … Continue reading →

Post-Traumatic
Stress Disorder Scale

Instructions: Put a check to indicate how much you have experienced each symptom in the past week, including today. Please answer all the items.
1. Upsetting memories of a traumatic event that come into your mind over and over
2. Avoiding things, places or upsetting thoughts associated with the trauma
3. Loss of interests or participation in activities
4. Feeling isolated or alienated from other people
5. Flashbacks (feeling like the past upsetting event is happening in the present
6. Always being on the lookout to make sure you don’t experience the upsetting event again
7. Feelings of guilt or distress about the traumatic event
8. Strong physical sensations (increased heart rate, sweating, etc.) when you are reminded about the event
9. Feelings of numbness
10. Difficulty falling or staying asleep

Please
Total Your Score on Items 1 to 10 Here

Scoring
Key for the 10-Item PTSD Test

Score	Interpretation
0 1-5 6-10 11-20 21-30 31-40	No symptoms of PTSD Minimal anxiety possibly associated with a traumatic event Mild symptoms of PTSD Moderate symptoms of PTSD Severe symptoms of PTSD Extreme symptoms of PTSD