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Brochure 85613 Outline Free Infographic Join us online for this live training! A Clinician’s Guide to Narcissism: Victims of Narcissistic Abuse in Therapy: Narcissistic Personality Disorder and the Break the Cycle of Abuse through OPIOID CRISIS AND MENTAL HEALTH NON-PROFIT EAU EAU CLAIRE WI ORGANIZATION PERMIT NO. 32729 PERMIT NO. Spectrum of Narcissistic Traits Increased Autonomy, Agency and Sense- Opioid PAID POSTAGE U.S. Opioids are a type of medicine used to treat pain. They include recreational drugs, such as heroin and opium, and prescription drugs, such DSM-5™ criteria for Narcissistic Personality of-Self Crisis and as morphine, codeine and fentanyl. Disorder Building assertiveness and individuation OPIOID STATISTICS Social and culturally acquired definitions – strategies to help clients be their own Mental 64,000 People died in 2016 from a drug The spectrum of narcissistic traits individual overdose in the United States Health % 236 MILLION Narcissistic Abuse Exercises to help clients discover their Narcissistic traits without meeting criteria 70 Opioid prescriptions of people who were dispensed by have abused doctors in 2016 own preferences, interests, desires, and prescription for NPD Get yours today at painkillers reported getting them from of the global supply % of opioids is consumed friends or relatives 80 in the United States goals Psychoeducation for survivors about NPD, pesi.com/1425infographicOverdoses are now the leading cause of narcissistic behavior and its consequences Teach clients to distinguish between death for Americans under 50 HOW OPIOIDS WORK assertiveness, aggression, and passive Normal Brain Activity Opioid Effect on the Brain Neurotransmitters Neurotransmitters Carrier of body signals (including pain) aggression Opioid Drugs Perfectly sized to bind to Opioid Receptors the opioid receptors Forwards signals from Narcissistic Abuse and General the neurotransmitters to the brain Opioid Receptors Opioid drugs bind to the Neurotransmitters connect to opioid receptors and block for Therapists the opioid receptors and send Counteract internalized messaging that the neurotransmitters. A flood Normal Signals the body’s normal signals to Abnormal Signals of pleasurable and soothing to the Brain the brain. to the Brain Emotional Abuse: Group Training signals enter the brain. assertive communication is harmful, Opioid Tolerant Brain Opioid Withdrawal Brain Similarities, Differences and Tactics Neurotransmitters Neurotransmitters Opioid Drugs cold, cruel, or harsh Impacting Detection and Treatment Opioid Receptors Opioid Receptors Solutions MadeOpioid receptorsEasy! become less With the removal of the opioid drugs, not all of the opioid responsive with time, resulting receptors are activated. This Diminished Abnormal in a need for more opioid Withdrawal Signals causes symptoms of anxiety, Signals to the Brain drugs just to feel normal. This is to the Brain depression, physical pain and Goals of perpetrators of emotional abuse Prepare clients for the backlash that often referred to as opioid tolerance. illness (or withdrawal). & MENTAL vs. narcissistic abuse attends increasing autonomy and • ONLINE or in-person OPIOIDS HEALTH Empower Clients to Break Free and Recover of Americans who agency have mental health Cycle of abuse in narcissistic relationships • Customizable 16% disorders receive Cultural sensitivity considerations OVER 50% of all the opioid prescriptions in the United States Gaslighting and other tactics of Exploring levels of contact and clients’ • Easy remote access Opioid Use in Adults Approximately from Gaslighting, Emotional Manipulation manipulation and coercion Adults without % Mental Health 5% Disorders 21-29 • From 5 to 5000 that use opioids of patients wishes regarding contact Adults with prescribed opioids Mental Health 18.7% Disorders that use opioids for chronic pain What is narcissistic supply? 0 5 10 15 20 misuse them • CE hours available Developing healthy boundaries -- how 1 out of 10 people with substance abuse disorder Subtypes: engulfing and ignoring/ seek treatment and Coercion to best protect themselves within the OPIOID ABUSE neglecting PREVENTION relationship parameters they choose www.pesi.com/inhouse Patient Prescribed Opioids PESI, Inc. 1000 Box P.O. WI 54702-1000 Eau Claire, Processing guilt/shame over setting Follow the Directions Follow the directions given to you by the doctor or pharmacist. Do not take more Ask for Alternatives or less without their approval. Ask your doctor for alternative drugs to Narcissistic Abuse in Specific avoid opioids. Do Not Share Never give your medication to anyone else. Watch out for Interactions boundaries and saying no Learn about the possible food and drug Keep Opioids Safe interactions with the medication. Keep all medication in a safe and secure location. Relationships: Dynamics and Impacts Look for the Signs Proper Disposal Learn and watch for the signs of an FDA guidelines state unused prescriptions opioid overdose. should be delivered to a drug drop-off Coping strategies for when contact is location or flushed down the toilet. Romantic/intimate relationships/sex Medical Professionals inevitable Consider Non-Medical Drugs Talk with your patients about Featuring Amy Marlow-MaCoy, LPC, addiction non-medical drug use and consider Weigh the Benefits possible interactions. Only prescribe opioids when the benefits outweigh the risks. Monitor Refill Requests Watch patient history for frequent Prescribe for Shorter Durations unscheduled refill requests or new Only prescribe opioids when theRE pain is medication requests as it may be a sign severe enough for their use and no longer of a problem. Co-parenting vs counter-parenting (usually three days or less). Talk to the Medical Community Lower Doses Use a Prescription Drug Monitoring Begin with the lowest effective dose when System (PDMs) to help identify drug Additional Approaches and Considerations prescribing opioids, and then reassess misuse, abuse, and “doctor shopping” benefits and risks before increasing it. (patients who move from provider to Friendships and frenemies provider for multiple prescriptions). Author of the Amazon best-selling book The Gaslighting Trauma competency – an essential for RESOURCES Centers for Disease Control and Prevention (CDC), CDC Guideline for Prescribing Opioids for Chronic Pain, (2017), Retrieved from: https://www.cdc.gov/drugoverdose/prescribing/guideline.html Centers for Disease Control and Prevention (CDC), Emergency Department Data Show Rapid Increases in Opioid Overdoses, (2018), CDC Newsroom Release, Retrieved from: https://www.cdc.gov/media/releases/2018/p0306-vs-opioids-overdoses.html Centers for Disease Control and Prevention (CDC)/NCHS, National Vital Statistics System, Mortality. CDC Wonder, Atlanta, GA: US Department of Health and Human Services, CDC; 2017. Retrieved from: https://wonder.cdc.gov. Family of origin – the golden child, black Chirlane McCray, Opioid Addiction Is a Mental Health Crisis, Not a Crime Wave, (2017), NBC News Think, Retrieved from: https://www.nbcnews.com/think/opinion/opioid-addiction-mental-health-crisis-not-crime-wave-ncna810506 CNN, Opioid Crisis Fast Facts, (2018), Retrieved from: https://www.cnn.com/2017/09/18/health/opioid-crisis-fast-facts/index.html Dina Gusovsky, Americans Consume Vast Majority of the World’s Opioids, 2016, Retrieved from: https://www.cnbc.com/2016/04/27/americans-consume-almost-all-of-the-global-opioid-supply.html Kosten TR, George TP. The neurobiology of opioid dependence: implications for treatment. Sci Pract Perspect, 2002, Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2851054/ working with these clients Matthew A. Davis, MPH, PhD, Lewei A. Lin, MD, Haiyin Liu, MA and Brian D. Sites, MD, MS, Prescription Opioid Use among Adults with Mental Health Disorders in the United States, J Am Board Fam Med July-August 2017 Recovery Workbook: Healing from Emotional Abuse vol. 30 no. 4 407-417, Retrieved from: http://jabfm.org/content/30/4/407.full Max Blau, STAT forecast: Opioids could kill nearly 500,000 Americans in the next decade, (2017), Retrieved from: https://www.statnews.com/2017/06/27/opioid-deaths-forecast/ National Institute on Drug Abuse (NIH), Misuse of Prescription Drugs, (2018), Retrieved from: https://www.drugabuse.gov/publications/research-reports/misuse-prescription-drugs/how-can-prescription-drug-misuse-be-prevented National Institute on Drug Abuse (NIH), Opioid Overdose Crisis, (2018), Retrieved from: https://www.drugabuse.gov/drugs-abuse/opioids/opioid-overdose-crisis National Safety Council (NSC), Prescription Drug Abuse Epidemic; Painkillers Driving Addiction, Overdose, Retrieved from: http://www.nsc.org/learn/NSC-Initiatives/Pages/prescription-drug-abuse.aspx Patterson, MSCP, NCC, LPC, Eric, Opiate Abuse, Retrieved from: https://drugabuse.com/library/opiate-abuse/#signs-and-symptoms sheep, scapegoat, and invisible child The Recovery Village, How Opiates Affect the Brain, Retrieved from: https://www.therecoveryvillage.com/opiate-addiction/how-opiates-affect-brain/#gref The Treatment Center, Understanding Opioid Receptors, The Opioid System, and the Risks for Opioid Addiction, Retrieved from: https://www.thetreatmentcenter.com/blog/understanding-opioid-receptors-the-opioid-system-and-the-risks-for-opioid-addiction/ Vivolo-Kantor, AM, Seth, P, Gladden, RM, et al. Vital Signs: Trends in Emergency Department Visits for Suspected Opioid Overdoses--United States, July 2016-September 2017. Centers for Disease Control and Prevention Inner child work to heal attachment NarcissisticVowles
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