What's New in Trauma Therapy - Dr. Bessel van der Kolk

What's New in Trauma Therapy - Dr. Bessel van der Kolk - HPP 75

Рет қаралды 21,059

Күн бұрын

Speakers: Dr. Bessel van der Kolk, Keith Kurlander, Dr. Will Van Derveer
Trauma has caused much grief and suffering for a lot of people, and it’s crucial for us, as care providers, to really understand why and how trauma started for each of our patients. There is still a lot to discover and learn when it comes to the conversation around trauma, and thanks to constantly evolving technology, we develop new ways of dealing with these challenges.
With all these technological advancements and methods of treatment available, where does the line end in terms of simply prescribing medicines that don't really prove very effective in the long run versus opting for an integrative treatment approach? What are the concepts that we need to be aware of regarding the different stages of development in an individual and when the trauma specifically entered? Could that perhaps help us, as providers, choose a much suitable method of treatment?
In today’s episode, we are excited and deeply honored to be joined by a highly influential researcher, psychiatrist and pioneer, Dr. Bessel Van Der Kolk. Join us as we immerse in conversation surrounding modern psychiatry and psychotherapy, EMDR therapy, the fascinating data around brain activity in patients suffering from trauma, and a whole lot more.
02:25 The State Of Psychiatry Today
04:56 Psychiatry: Understanding EMDR
10:13 Human Trauma: An Evolutionary Perspective
12:38 The Issue Of Shame
21:02 Psychedelics In PTSD Treatment
26:19 The MAPS Approach In Treatment
32:35 Trauma Therapy In The Future
To learn more about Dr. Bessel van der Kolk visit www.besselvanderkolk.com/abou...
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Пікірлер: 83

@PeacockPoverty 3 жыл бұрын

"nothing works for everything" thank you for that clarity

@aryankabir4167 2 жыл бұрын

I know it is kind of off topic but do anybody know a good website to stream new tv shows online ?

@zahiraugust9493 2 жыл бұрын

@Aryan Kabir meh I'd suggest Flixportal. just google for it:) -zahir

@aryankabir4167 2 жыл бұрын

@Zahir August Thank you, I went there and it seems like they got a lot of movies there :D Appreciate it!

@zahiraugust9493 2 жыл бұрын

@Aryan Kabir Happy to help :)

@robynhope219 5 ай бұрын

Unfortunately...I wish!

@tobsternater 2 жыл бұрын

I really appreciate Dr Van der Kolk's ability to talk from the intricate perspective of the traumatised child in context to the methods of modalities approached in question. His going to those places helps me, as a traumatised person, to get a foot hold in another way of thinking. Self destructive behaviours have been my experience in earlier life. It allows a veiw point of self compassion to hear it spoken contextually. A conversation on the healing needs to be accessed as an imagined place capable of being reached.

@livi2792 3 жыл бұрын

You know what I have found most helpful in changing the deep sense of badness and shame.... animal assisted therapies. Since having an opportunity to experience equine assisted therapy where the horses are at liberty (no ropes involved, the horses can choose to engage or not) it’s literally therapy out in a paddock with a couple of dogs and a small herd of horses. I have learned to be beside another person and experience the beauty of nature and share those good feelings with someone else... something fundamental that I hadn’t even known I’d never experienced with anyone before. Then with the horses I have learned so much through watching the herd about regulation. But around the deep shame the thing that’s helped me shift my heart on this most is how the therapist draws my attention to the fact that the animals are wanting to interact with me and enjoying the way I’m being with them. Even when I’m feeling awful inside and or distressed, the animals are seeking connection with me and this is slowly helping shift my self loathing and sense of being dirty and terrible etc. I wish that the institutions of psychiatry and psychology would stop being so self serving of preserving their power and interests and actually encourage and welcome the fact that healing is possible and different for everyone and that as the professions that are supposed to be there to help people in their journeys they must first loose their current need for wielding power and control of so much of this space. And get out of the control of drug companies too! How they ever let themselves become so wed to the interests and influence of drug companies is just astonishing.... and so morally wrong. I’m so glad that more and more people in the field are coming back to their humanity and doing so much work to change things. Thank you all

@AuntMay2011 3 жыл бұрын

Where do you go to do this type of therapy.... sounds amazing.

@yourkarma2250 2 жыл бұрын

i dont know you but you are loved

@frederickschwartz3741 2 жыл бұрын

Well said; and I am in the mental health field.

@robynhope219 6 ай бұрын

Yes, B talks about Horse therapy for difficult youth...not practical for city dwellers.

@emosag 5 ай бұрын

Well said

@andreejohnston516 Жыл бұрын

As a huge trama survivor of the worst types at 57 I agree with Bessel. Most of the best work I’ve done is because I learned to fine tune my learning skills. What works what doesn’t! Drugs don’t work for me what do ever. Street drugs helped a long time ago in allowing me to cope but I was blessed enough to get off them and stay away. Shrinks for the large amount of money they make need to retrain to help people not drug them. Each and every person is truly sooo different we need to ask each trama victim “HOW FO YOU LEARN BEST”. I learned by sight sound and feeling as I had no communication as a child. That was my way of tuning into the world so that is how I will heal best. Intellect is okay but only so much. Mind renewal, daily practice, spiritual practices, nature, so many forms for healing…

@heatherferris4439 3 жыл бұрын

Fascinating that Bessel Van der Kolk took on a dominance body position of hands behind his head when responding to the question about shame, herds, and othering that allows some to be vulnerable to predators.

@NR-110 3 жыл бұрын

Nice observation!

@yourkarma2250 2 жыл бұрын

Yea cause he is da King

@denisealley9822 3 жыл бұрын

Boston needs so many psychologists, therapist that understand the word Trauma. I've been looking since February of 2020. It's been extremely difficult, especially dealing with a whacked out nervous system. Please help us Out more 🙏 😢

@winsomecohall2250 3 жыл бұрын

Please check out Dr Gabor Mate on childhood truama and Robert Sapolsky on depression and the limbic system ..

@SoulSpa6835 3 жыл бұрын

Cptsd? Atypical presentation. Therapists don’t recognize it.

@jld4870 2 жыл бұрын

Unfortunately it seems that many cannot-financially, time wise, practitioner availability-deem the benefit of updated trauma therapy. And the most traumatized folks-homeless, abused, inmates- are out of luck. I so appreciate all of you are who are trying to help, just wish it was more widely available. Please keep up the quest to help all of us who suffer!!

@robynhope219 6 ай бұрын

What is a whacked out nervous system?

@sk.n.9302 Жыл бұрын

Thank you for this. Very helpful & confirming.

@jonslaughter3369 3 жыл бұрын

Thank you for this incredibly informative and thoughtful interview. Thank you also for the wonderful healing work you are brining into the world to reduce suffering.

@IntegrativePsychiatryInstitute 3 жыл бұрын

Glad you enjoyed ii! We hope you enjoy the other videos as well :)

@ludmillabaier6983 2 жыл бұрын

@@IntegrativePsychiatryInstituteIn einer Klinik wo ich Hilfe gesucht habe nach einer sehr grausamen Vergewaltigung und Misshandlung und auch weil ich in diesem Prozess Abstand brauchte von meiner Narzisstischen Mutter die mich dann als Hure bezeichnete und von ihr weggestossen hat , wurde ich von einem Oberarzt dieser Nervenklinik von hinten mit einem Hand Kanten Schlag in mein Genick zusammen geschlagen. Er sagte zu mir in einer Sitzung, das er in Amerika war und eine sehr heilsame Therapieform mitgebracht hat. Ich soll mir gedanklich vorstellen das meine Mutter vor mir auf dem Stuhl sitzt und sie auf das schlimmste beschimpfen soll ( mit Ausdrûcken die hier gar nicht erwähnen mag). Und dann auch noch auf sie hin schlagen und mit Fûssen treten. Ich sagte Nein, das werde ich nicht tun, so eine Gewalt fûhlt sich nicht heilsam für mich an und hab diesen Raum verlassen auch weil der Typ mir Angst gemacht. Und diese Angst war berechtigt. Diesen Widerspruch konnte er so wenig verkraften, das er völlig ausgerastet mir nachgelaufen ist und dann von hinten zugeschlagen hat. Mit wurde schwarz vor Augen und kurz Ohnmächtig. Als ich wieder zu mir kam am Boden lag, schnappte er mich beim Kragen und schleifte mich wie einen Kohlen Sack in den Therapieraum zurück. Ich sah zu ihm hoch und was ich dann sah und hörte hat mich nur mehr veranlasst zu beten. Er schreit in sein Handy das er von einer Patienten angegriffen wurde die auf der Stelle zum Schutz der Patienten in die geschlossene Abteilung ûberstellt werden muss. 4 Pfleger mussten es sein die mit einem fahrenden Fixierbett an gerannt kamen. Jeweils 2 Meter groß mit Schultern die halb so breit damit sie es schafften meinen zierlichen schmerzenden Körper wie ein geschlachtetes Vieh auf das Bett zu werfen. Ich hab ihnen dabei in die Augen gesehen wie sie auch noch dieses für mich unfassbare getan haben. Mich gefesselt mit diesen Gurten. Es waren weit aufgerissenen Augen die davon Sprachen wie sehr sie meine Hilflosigkeit meine Ohnmacht meine Angst erregte. Ich denke ich brauche nicht zu betonen was es bedeutet und sich anfûhlt als zusätzlich traumatisiert von denen wo du Unterstützung gesucht hast monatelang in einen Raum mit psychisch sehr kranken Menschen gesperrt zu werden. Wo ich aber nach dieser Erfahrung ûberzeugt war, das diese Ärzteschaft plus Personal die kränkersten davon waren und die Patienten bevor sie kamen noch gesûnder . Die ganze Cru hat nun zusammen gehalten damit dieses Verbrechen ihres Kollegen vertuscht werden kann bzw. der gute Ruf dieser anerkannten Klinik nicht geschädigt. Muss mir niemand glauben und das tut auch niemand. Sie haben dafür gesorgt mich so zu behandeln das ich diese Klinik nicht mehr lebend verlassen kann. Zumindest so weit gestorben bin das es mir gar nicht mehr möglich sein wird reden zu können ûber das was wirklich geschehen ist. Hätte ich diesen Funken an Gôttlicher Anbindung auch verloren währe in dies auch gelungen. Ich lasse aus... Dann kam plötzlich dieser Tag von heute auf Morgen ohne Ankündigung. Entlassen aus der geschlossenen Anstalt direkt auf die Straße. Der geehrte Herr Direktor der Klinik hat mich davor noch in sein Bûro gerufen mit der Drohung " Sollte etwas von aussen an uns heran getragen werden, was sich hier herinnen zugetragen hat, dann verspreche ich Ihnen kommen sie wieder und nie mehr raus. " Schauen sie hat er gesagt und hielt mir eine dicke Mappe vor mein Gesicht und seines Schweissdgebadet. Wir haben alle einstimmig dafür vorgesorgt. In diesem Protokoll sind all ihre Psychosen und Wahnvorstellungen aufgelistet. " Und was glauben sie wem geglaubt werden wird, ihnen oder UNS. " Ich hab dadurch das ich für diesen offensichtlich kranken Arzt bûssen musste nicht nur meine geliebte Arbeit als Bertreuerin für behinderte Menschen verloren, sowie meine davor neu bezogene Wohnung sprich Existenz, sondern was am aller schlimmsten, auch meinen Sohn. Da ia eine Mutter mit diesem Krankheitsbild nicht fähig ist ein Kind zu erziehen und dieses auf jeden Fall von der Mutter geschûtzt werden muss. Er war damals 10 Jahre alt. Er hat sich für meinen Entschluss gefreut und gesagt ja Mami mach das du wirst sehen dann wird alles wieder gut. Die machen dich wieder ganz gesund und jetzt haben wir ja auch eine eigene Wohnung.... 😰 Mein Schatz es dauert bestimmt nicht länger als 3 - 4 Wochen hab ich gesagt zu ihn beim Abschied. Er hat mich so angeschaut mit Tränen in den Augen als hätte er es gespûrt das seine Mami nicht mehr kommt. Ich hab gekämpft wie eine Lôwin um diesen ganzen Wahnsinn zu verkraften. Ich hab keine Chance gehabt mein Kind zurück bekommen. Dieser Trennungs Schmerz von seiner Mutter hat bei ihm so eine tiefe Wunde hinterlassen die in ihm eingefroren ist und er leider nur so damit umgehen kann das er seine ganze Wut darüber auf mich projiziert und das auf eine Art und Weise wo er damit auch mich wieder retraumatisiert. Ein unsagbar schmerzlicher Täufelsskreis. Dann sagt er wieder Mama unser Band kann niemand zerreissen und ich könnte niemals glûcklich werden wenn wir in Unfrieden sind. Um dann sagt er wieder so einen Menschen wie mich will er nicht in seinem Leben haben weil ja eh alle wissen das ich psychisch krank bin. Vorgestern hat er mir geschrieben wie lieb er mich hat und gestern er spûrte schon längst das ich was dunkles in mir trage. 😥 In meinem Leben nichts auf die Reihe gekriegt hab und ich dann Schuld bin das er so traumatisiert ist und sein Leben zerstört hab. Dann sagt er wieder Mama wir brauchen Hilfe und ich hätte nie was dafür getan. Obwohl er es ist der sich so sehr dagegen wehrt. Eine Trauma Therapie die nicht noch mehr Schaden bringt können wir uns gar nicht leisten. Wir brauchen aber Hilfe alleine schaffen wir das nicht mehr.

@nippichaos 3 жыл бұрын

I have CPTSD, and when I was younger i took a lot ecstasy and acid, until then I had never known what it felt like to feel ok in my body, to feel content and free from the self loathing and numbness. That experience opened my eyes to how life could be and gave me something to strive for. Recovery is an on going process, but my life has improved significantly by learning self management techniques, understanding the triggers and early warning signs of declining mental health, using breathing, gratitude, having hope, good support, meaningful connections, a purpose, meditation, tapping, music, learning about trauma, talking therapy, and my dog. I am not advising people to take these drugs without proper support, I was lucky, but have witnessed others having really bad experiences with these drugs. But if these therapies are ever licenced, then I would recommend considering them.

@alexs.9912 Жыл бұрын

same with me. I felt normal for the first time in my life when I took MDMA. It truly showed me what was possible and gave me hope for the path ahead.

@nippichaos Жыл бұрын

@@alexs.9912 wishing you all the best for a good future. Keep the hope💜

@donnaschnare7029 3 жыл бұрын

Thank you for this. It was shared by my son who has been working through his trauma with IFS . Bless you all

@IntegrativePsychiatryInstitute 3 жыл бұрын

Glad it was helpful!

@winsomecohall2250 3 жыл бұрын

Please check out Dr Gabor mate on childhood truama and Robert Sapolsky on the limbic system and depression

@gingerrivas5354 Жыл бұрын

Emdr works heavenly!

@hellowondrrful 3 жыл бұрын

Your methods are undeniably helpful

@gingerrivas5354 Жыл бұрын

I think I came out until nowadays because I love to dance!!!! Dance kept me sane

@rosyloveslearning3013 2 жыл бұрын

Great discussion. Thank you. 🙏🏼

@daisybaggins1138 3 жыл бұрын

Thank you so much. Very informative

@IntegrativePsychiatryInstitute 3 жыл бұрын

Glad it was helpful! Hope you enjoy our other videos as well! :)

@gingerrivas5354 Жыл бұрын

I did have ecstasy experience but never taught about thinking in myself in that moment. That approach is very interesting...

@ginaiosef 2 жыл бұрын

In reference to the herd , if you dig for more updated informations, you'll find that those who "travel" aside the herd, most in front but especially at the back, are the most powerful, most courageous, inteligent and wiser of the members, wolves I believe are at the top of the model. So I don't think the herd is a good analogy. I also would like to notice the way society in general and also our closer members treat and "define" those of us who enjoy being by themselves and not spent a lot of time hanging around with anybody or do what everybody does. Thank you for sharing this video anyway, is always great when we can talk about and understand these things about us.

@InSouthernMaine 2 жыл бұрын

I simply cannot imagine a life without the fear, shame, self-loathing, guilt, and remorse that dog my every step. 58 years, filled with childhood trauma, physical trauma, sexual abuse, domestic violence, and worst of all, betrayal by the very people one loves helplessly - like parents, ex-spouses, estranged siblings - and for a widow like me, the ultimate traumatic betrayal by my new husband (old friend), my true love, when he suddenly died of heart failure before I even knew what was happening. True grief, the kind following the death of a child or spouse or partner, must be the ultimate trauma. After 9 years - we buried him 9 years ago today, I still feel like the walking dead, trailing blood behind me where my hear and soul have both been torn apart.

@robynhope219 3 ай бұрын

Sorry to hear what u went thru. Feel better now?

@aaronwright6058 3 жыл бұрын

Thank you!!!

@IntegrativePsychiatryInstitute 3 жыл бұрын

You're welcome! Hope you enjoy the other videos! :)

@charlottekoch9875 3 жыл бұрын

Everyone is different and everyone heals differently.

@jld4870 2 жыл бұрын

I am beyond grateful to learn more about how trauma has affected my brain and understand the ‘scientific’ reasons for my aberrant behaviors. Being a person of faith I also seek Gods love and guidance to heal my mind body and spirit. I do have questions around spiritual vs mental health. God also says to connect, support and love one another. I would, actually be an answer to prayer if these two worlds could coexist and benefit from each other. Are any of you integrating faith based guidance into your therapy regimes? Thank you

@Be1More 3 жыл бұрын

yes!!!!!!!!!!!!!!!!!!!!!!!!!!!!

@AA-ex5nq 3 жыл бұрын

it’s very interesting when talked about neuro science and saying that’s why you don’t sleep or that’s why you can’t focus etc, the question is since that’s not happening now, what’s your advice about now what’s the best route or kind of therapy to go to in order to heal ? and what do you think about TMS “transcranial magnetic stimulation “ ?

@megangardner2766 3 жыл бұрын

Maybe this will help... kzfaq.info/get/bejne/fNppgZVeqKu0qpc.html neuroscience stress, sleep, calm - Dr Andrew Huberman - he’s on the ball.

@winsomecohall2250 3 жыл бұрын

Please check out Dr Gabor Mate on childhood truama and Robert Sapolsky on depression and the limbic system..Robert work on schizophrenia was help me to understand how my brain work and Gabor Mate on childhood truama help me the most to unlock the truama I suffered..

@SimchaBinyamin 2 жыл бұрын

I can personally share that Regarding EMDR not helping for developmental childhood trauma, that it didn’t help very much for me and my childhood developmental trauma. It helped a bit, but nowhere near as much as yoga and other methods

@lauriaktahi 2 жыл бұрын

Is Dr. Van Der Volk still seeing patients? I have suffered for 48 years, with absolutely no help. I deal with so many symptoms every day. I'm 58 now, and I am not going to be able to manage the basic things of daily life in a few more years, and I cannot live a life where I am not independent. He understands everything about my condition. I hope to receive an answer. Ty

@sockysworld8010 2 жыл бұрын

21:27 If you need a moment of inspiration about how carrying your trauma can change the world.

@charlottekoch9875 3 жыл бұрын

My experience.. can't get away from the person who started it and they are still allowed to do the creepy things.. will keep you stuck in the cycle of abuse and never heal. How do you heal when your wound keeps getting poked?

@cherylwilsherlimberlife7210 2 жыл бұрын

Check out irene lyon and Peter levine and deb dana

@winsomecohall2250 3 жыл бұрын

People won’t heal until they understand their childhood traumas and how their brain ,emotional system works their is a pain body they all need to understand Dr Gabor work on this is a phenomeno also Robert Sapolsky on the limbic system depression and schizophrenia.. they help me to heal myself without therapy ...

@minooluna23 2 жыл бұрын

I m a very creative person, scientist, artist ... and I understand when he says contributions are created through adversity. Ah I hate people who have had much easier lives- I dont mean hate but I dont like those people. I feel that is not life to live easy. Ah what is meaning of life anyway!

@robynhope219 3 ай бұрын

I also resent ppl who had easy lives...the word is RESENT, not hate. The world is such an unfair place. I can't accept that...never could, never will.

@DanDanRobotMan 2 жыл бұрын

Could you define MAPS for us?

@meganmarie2173 3 жыл бұрын

my boyfriend just did EMDR and he got very retraumitized i know other people who have said the same thing, i dont think i would ever do it....maybe its good for certain traumas but not others........

@gloriaf4015 3 жыл бұрын

I’ve heard Brainspotting (which is based on EMDR) is less intense than EMDR. There are other YT vids about it.

@winsomecohall2250 3 жыл бұрын

Please check out Dr Gabor Mate on childhood truama also when the body says no check out Robert Sapolsky on depression ,limbic system also schizophrenia you will understand about how the brain works and how you have a pain body and why people are addicted.. it’s an eye opener all on utube

@denisealley9822 3 жыл бұрын

@Meghan Marie I'm doing brainspotting and I've done EDMR. Brainspotting is faster and more gentle. It only focuses on one "event" at a time. David Grand teaches this. It came from/out of EDMR. You need a therapist that knows how to do EDMR correctly, is trained properly and knows how to make sure you're doing well, after doing it. Like a calming technique. Brainspotting is Amazing. Both are.

@patjohnson3528 3 жыл бұрын

@@denisealley9822 I would consider Neurofeedback before EMDR. EMDR can cause issues if you have undiagnosed DID or DDNOS. Neurofeedback first to regulated the CNS and then EMDR, Somatic Experiencing and IFS modalities. You need a multi-prong approach to heal. They will work synergistically together. Some better than others. We are all wired differently.

@patjohnson3528 3 жыл бұрын

@@denisealley9822 Forgot to mention that EMDR and brainspotting can cause flooding. An abreaction where old somatic body memories and implicit/explicit mementoes can come boiling up and out. If your body and mind are not regulated this can really throw off your equilibrium. I know all of this from experience. I am still on my healing journey after 3 years but I have definitely moved forward I don’t recognize certain aspects of myself anymore from healing and growing. It’s possible.

@chilloften Жыл бұрын

Please send this to all medical facilities hiring personnel. It’s most evil workplace.

@charlottekoch9875 3 жыл бұрын

How can meds help PTSD when they can't pass the blood brain barrier? It's a brain injury not a body injury. It needs to be treated differently

@cherylwilsherlimberlife7210 2 жыл бұрын

Brain body body brain bottom up approach can really help

@hellowondrrful 3 жыл бұрын

The fact that he’s trapped by capitalism’s ceiling .

@charlottekoch9875 3 жыл бұрын

Meds manage symptoms not fix the original problem.

@gingerrivas5354 Жыл бұрын

I do not agree with trauma helping development, if there where no trauma the development would be enormous!!

@karenlewkowitz5858 Жыл бұрын

What a terrible and 2D limiting assptions couched in the question of isolating ro benefit the community. People are not just one experience or one descriptor. Along these lines, one an also mention the supportive communities insluding supporting and raising up individuals

@ledacedar6253 8 ай бұрын

I always love hearing Dr Bessel van der Kolk speak and teach us how to heal; good questions guys but I can't stop thinking how bloody weird you,r hair is- psychiatrist interviewing. And If I saw that hairdo as I was meeting you for a session I'd say NOPE you're way too weird looking to feel any trust. Normal everyday appearances matter for us CPTSD people.

@robynhope219 3 ай бұрын

If u want to get along with ppl, u accept whatever their hair...don't focus on appearances.