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PACEs in Medical Schools

Tagged With "adversity"

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Opinion: All Doctors Should Practice Trauma-Informed Care [calhealthreport.org]

By Bob Erlenbusch and Drew Factor, California Health Report, November 20, 2019 “Adverse childhood experiences are the single greatest unaddressed public health threat facing our nation today,” Dr. Robert Block, former president of the American Academy of Pediatrics, has been widely quoted as saying. According to the Adverse Childhood Experiences Study, conducted in the 1990’s by the Centers for Disease Control & Prevention and Kaiser Permanente, adverse childhood experiences are common,...
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The Impact of Childhood Adversity on Health and COVID-19 [acpm.org]

By Kevin Sherin, American College of Preventive Medicine, May 7, 2020 There is a growing dialog about COVID-19 and its impacts on childhood adversity (ACEs), chronic stress, and mental health across the lifespan. The fear and social isolation associated with COVID-19 commonly exacerbates existing chronic stresses. Reports are surfacing of increased mental health problems, anxiety, partner violence, depression, suicidality, child abuse, opioid use disorder, other substance abuse, drug...
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12 Things I Wish My Doctor Understood About Childhood Trauma

Anna Runkle ·
It doesn’t happen that often anymore, but one place where I almost always get triggered with my Childhood PTSD symptoms is when I visit the doctor. I could never even put this into words before. But now that I’m mostly healed from my Childhood PTSD symptoms, I want to express what I wish my doctors – all the doctors of my life – had understood about the effects of Childhood trauma, about me. Note: This is one of my most personal posts ever. Unless you’re someone who really prefers text, I...
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Association of Adverse Experiences and Exposure to Violence in Childhood and Adolescence With Inflammatory Burden in Young People [jamanetwork.com]

By Line J.H. Rasmussen, Terry E. Moffit, et al., JAMA Pediatrics, November 4, 2019 Question: Is exposure to adverse experiences, stress, and violence in childhood associated with an increase in blood levels of the inflammatory biomarker soluble urokinase plasminogen activator receptor in young people? Findings: In this cohort study of 1391 young people followed up to 18 years of age in the United Kingdom, exposure to adverse experiences, stress, and violence during childhood or adolescence...
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Dr. Nadine Burke Harris (podcast) [armchairexpertpod.com]

By Dax Shepard, Armchair Expert, October 10, 2019 Nadine Burke Harris is an American pediatrician who is the 1st and current Surgeon General of California. She is known for her work in adverse childhood experiences. Nadine visits the Armchair Expert to discuss the impact childhood trauma has on health and longevity, she talks about her own experience with childhood adversity and she gives tools to buffer those who have many ACEs. Nadine talks about the screening process she pioneered and Dax...
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From Trauma-Informed to Asset-Informed Care in Early Childhood [brookings.edu]

By Ellen Galinsky, Brookings Institute, October 23, 2019 The focus on “toxic stress,” ACEs (Adverse Childhood Experiences), and trauma-informed care have been game-changers in the field of early childhood development. They have helped us recognize the symptoms of trauma, provide appropriate assistance to children, and understand that prolonged adversity in the absence of nurturing relationships can derail a child’s healthy development. Just look at the media’s and the public’s reaction to...
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Experience of emergency department use among persons with a history of adverse childhood experiences [bmchealthservres.biomedcentral.com]

By Eva Purkey, Colleen Davison, Meredith MacKenzie, et al., BMC Health Services Research, May 24, 2020 Background Adverse childhood experiences (ACEs) are associated with increased morbidity and mortality, lower levels of distress tolerance, and greater emotional dysregulation, as well as with increased healthcare utilization. All these factors may lead to an increased use of emergency department (ED) services. Understanding the experience of ED utilization among a group of ED users with...
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Hope for Healing: A Mother's Triumph

Teri Wellbrock ·
It's her victory reward for overcoming her addiction. Now celebrating one and a half years sober! Look how far she's come since the first half of 2019! Hospitalized for detox from alcohol, repeated falls requiring hospital and rehab facility stays, threats of suicide, and trying desperately to escape the pain of her childhood trauma.
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Adverse Childhood Experiences, the Brain, and Exercise: How exercise strengthens the brain wounded by toxic childhood stress

Dr. Glenn Schiraldi ·
Even small amounts of exercise can quickly and dramatically improve mood, brain health, brain function, and the ability to cope with stress, while preparing the brain to rewire the hidden wounds from childhood.
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Adverse Childhood Experiences, the Brain, and Sleep

Dr. Glenn Schiraldi ·
Sufficient, good quality sleep strengthens the brain wounded by ACEs in many ways. Intelligent sleep strategies improve mood, brain (and medical) health, brain function, and the capacity to rewire negative neural pathways imprinted in childhood.
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Neuroplasticity, Imagery, and Adverse Childhood Experiences

Dr. Glenn Schiraldi ·
The disturbing neural imprints from adverse childhood experiences need not be a life sentence. Imagery is an extremely helpful tool to modify the circuitry of the brain, utilizing the principle of neuroplasticity. Imagery strengthens and stabilizes the brain, while laying down alternative neural pathways.
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Emotional Intelligence and Healing Hidden Wounds

Dr. Glenn Schiraldi ·
What is emotional intelligence? How does it help us cope in the present and heal the hidden wounds from childhood that continue to disturb us?
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Underground Shame from Adverse Childhood Experiences: Understanding Prepares the Heart to Heal

Dr. Glenn Schiraldi ·
New understanding of the brain provides hope for breaking the painful grip of shame that’s imprinted in childhood and continues to affect adults. Rewiring shame calls for more than the traditional left brain approaches.
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Taming Underground Shame from the Early Years: Healing Is As Much About the Heart As It Is About Logic

Dr. Glenn Schiraldi ·
Deeply rooted shame from childhood adversities can lurk beneath conscious awareness, even after early memories are reworked. New understanding of the brain provides hope for breaking the painful grip of shame that’s imprinted in childhood. Traditional therapeutic strategies might not be the best starting point. This blog introduces the first of several healing strategies.
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Rewire Hidden Shame from Adverse Childhood Experiences

Dr. Glenn Schiraldi ·
Deep-rooted shame resulting from adverse childhood experiences can weigh you down. These skills can help.
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3 More Ways to Rewire Shame from Adverse Childhood Experiences

Dr. Glenn Schiraldi ·
These three cognitive countermeasures round out the skills for neutralizing shame imprinted in the first 18 years of life. They complement the right brain strategies described in recent articles.
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Moving Forward After Adverse Childhood Experiences: How to Move from Suffering to Flourishing

Dr. Glenn Schiraldi ·
Once the suffering resulting from adverse childhood experiences is managed, we can turn toward creating a more satisfying life. Pursuing the honorable life leads to self-respect and inner peace. Compassion for mistakes, understanding their reasons, and applying integrity skills starts us on the path to flourishing.
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Moving Forward After Adverse Childhood Experiences, Part 2: Harness the Liberating Power of Forgiveness

Dr. Glenn Schiraldi ·
The well-timed choice to forgive deep injuries from childhood, though difficult, can greatly improve psychological wellbeing and free us to move ahead. Four keys to forgiveness lay the foundation for cultivating healing forgiveness skills.
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MEDICAL and ACADEMIC NARROWMINDEDNESS BLOCK PROGRESS

Jeoffry Gordon ·
As a clinician, researcher and policy specialist devoted to the prevention and treatment of the ill effects of child abuse and neglect (CAN) I read “Recommendations for Population-Based Applications of the Adverse Childhood Experiences Study: Position Statement by the American College of Preventive Medicine” (Sherin KM, Stillerman A, Chandrasekar L, Went N, Niebuhr DW. Recommendations for Population-Based Applications of the Adverse Childhood Experiences Study: Position Statement by the...
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Re: MEDICAL and ACADEMIC NARROWMINDEDNESS BLOCK PROGRESS

Rebecca H Bryan ·
Thank you for writing this - I couldn’t agree more.
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Re: MEDICAL and ACADEMIC NARROWMINDEDNESS BLOCK PROGRESS

Laneita Williamson ·
Thank you for writing this article. I appreciate the concerns and thoughts you have shared, agreeing this position statement needed to deeply expand. In medicine there are times that there is a giant leap from a 30 minute introduction on ACEs to some clinicians believing they have all the knowledge base needed to run with leading major process changes, without reviewing prior data or efforts. This is often due to their limited time but yet passion to drive change. The other concern is the...
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Lightening the Load We Carry from Childhood: 10 Ways to Forgive the Unkindest Cuts

Dr. Glenn Schiraldi ·
While the process of forgiving painful offenses from childhood can be very difficult, efforts to forgive bring great rewards. The process begins with acknowledging the pain, applying self-compassion, and taking even small and faltering steps to get the forgiveness ball rolling.
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MEDICAL and ACADEMIC NARROWMINDEDNESS BLOCK PROGRESS

Jeoffry Gordon ·
As a clinician, researcher and policy specialist devoted to the prevention and treatment of the ill effects of child abuse and neglect (CAN) I read “Recommendations for Population-Based Applications of the Adverse Childhood Experiences Study: Position Statement by the American College of Preventive Medicine” (Sherin KM, Stillerman A, Chandrasekar L, Went N, Niebuhr DW. Recommendations for Population-Based Applications of the Adverse Childhood Experiences Study: Position Statement by the...
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Medical and academic narrowmindedness block progress

Jeoffry Gordon ·
As a clinician, researcher and policy specialist devoted to the prevention and treatment of the ill effects of child abuse and neglect (CAN), I read “Recommendations for Population-Based Applications of the Adverse Childhood Experiences Study: Position Statement by the American College of Preventive Medicine”, a position statement by the American College of Preventive medicine, with dismay . (Sherin KM, Stillerman A, Chandrasekar L, Went N, Niebuhr DW. Recommendations for Population-Based...
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Finding Joy After Adverse Childhood Experiences

Dr. Glenn Schiraldi ·
Adverse childhood experiences understandably can numb feelings, including feelings of joy, happiness, and pleasure. Making time to be joyful rewires the wounded brain. Once healing has progressed, the capacity for joy can usually be expanded through the repeated application of proven joy strategies.
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Bouncing Forward After Adverse Childhood Experiences

Dr. Glenn Schiraldi ·
Once the healing of hidden wounds from adverse childhood experiences has sufficiently progressed, attention can turn to developing a richly satisfying future. Your innate inner strengths, experiences, and acquired skills will help rewire your brain for a brighter future.
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Drug Addiction and ACEs: A Journey Through the Gates of Hell to Redemption

Dr. Glenn Schiraldi ·
Attachment disruptions and other hidden wounds from ACEs can render one more vulnerable to drug addiction. Genuine, mature love from others, and for oneself, can change the course of one's life. A recent book highlights the path from childhood trauma to addiction to recovery.
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How to Disarm Shame Mindfully: A Counterintuitive Approach

Dr. Glenn Schiraldi ·
Shame-based memories imprint primarily in the non-verbal right brain, largely beneath conscious awareness. When our usual attempts to cope with the inner turmoil of shame fail, mindfulness can help. Bringing the various aspects of a disturbing memory to awareness gives the brain a chance to change the memory.
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Shame Thought Traps and Adverse Childhood Experiences

Dr. Glenn Schiraldi ·
Disturbing thought patterns linked to shame are learned. They can be challenged and replaced.
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Key Healing Attitudes for Adverse Childhood Experiences

Dr. Glenn Schiraldi ·
For moving past hidden wounds from childhood, mindset matters. These important attitudes undergird the process of healing from adverse childhood experiences.
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Keys to Calming Anxiety from Adverse Childhood Experiences

Dr. Glenn Schiraldi ·
Anxiety rooted in the hidden wounds from childhood need not be a lifelong sentence. A combination of effective strategies offer hope and help to alleviate anxious conditions, including excessive worry and panic attacks, that originate in childhood.
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Releasing the Grip on Your Difficult Past

Dr. Glenn Schiraldi ·
Three burdensome happens learned in trying to cope with adverse childhood experiences can be changed. Efforts to drop and replace these troubling habits can be extremely liberating.
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Gifting Yourself Peace after Childhood Adversity: After Painful Memories Are Confronted, Healing Continues

Dr. Glenn Schiraldi ·
Wounds of the heart may persist after troubling memories from childhood adversity have been rewired. Fortunately, pain from childhood adversities can spur us to create a peaceful heart of forgiving, kindness, calm, and purpose.
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The Imposter Syndrome and Adverse Childhood Experiences: Understand the Mask and How to Drop It

Dr. Glenn Schiraldi ·
Pretending is the imposter’s exhausting attempt to conceal hidden wounds that often trace back to childhood. Most people relate to at lease some aspects of the syndrome. We discuss ways to drop the mask, counter insecurities, and live authentically.
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Can I Really Be Happy After a Crummy Childhood? Yes, you can!

Dr. Glenn Schiraldi ·
A difficult past need not define you, nor determine your future. We explore three paths to building a satisfying life after hardship in childhood.
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Vital Self-Care for Adverse Childhood Experiences Recovery

Dr. Glenn Schiraldi ·
Often overlooked, intelligent self-care is vital during and after the recovery process. Tending to important needs optimizes mood, mental health, and the ability to handle everyday stress. These keys say, "I matter," and sustain you in your recovery journey.
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For Better Relationships and Self-Esteem, Replace Common Mr. Nice Guy Thought Patterns

Dr. Glenn Schiraldi ·
The Mr. Nice Guy syndrome's dysfunctional thought patterns are common in survivors of adverse childhood experiences. Uprooting these patterns can improve self-esteem and relationships.
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Healing from Adverse Childhood Experiences: The Timeless Wisdom of Peter Levine

Dr. Glenn Schiraldi ·
The body often tells the real story of trauma better than the thinking mind. Before one can verbalize and complete the trauma story, one typically must return to physical equilibrium. Trauma expert Levine explains ways to calm physical and emotional responses to trauma and regain a sense of wholeness.
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Adverse Childhood Experiences: Who Stumbles and Who Thrives? Learning resilience from the tales of 14 uncommon siblings raised in poverty

Dr. Glenn Schiraldi ·
Michael J. Menard’s fascinating book recounts how fourteen children faced uncommon challenges. Yet most of them found the way to overcome their struggles and thrive.
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