ATRIUM

A.T.R.I.U.M.A.T.R.I.U.M. =

• Addictions &

• Trauma• Recovery

–Integrated

• Model

ATRIUM

– Published in treatment manual

Addiction and Trauma Recovery: Healing the Body, Mind & Spirit,

– D.Miller & L. Guidry, 2001, WW Norton

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– Structure and content of the ATRIUM model:

• Number of sessions = 12

• Duration of each session = 1.5hr.

• Timing or frequency of sessions = weekly or twice per week

ATRIUM• Structure of each session =• didactic component

• process component- participants to share own experience relevant to session topic,

• experiential component teaches participants new ideas and skills

• a “homework” assignment = handout reviews didactic and experiential content of session; participant creates own mini workbook

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RelationalCognitive

Behavioral

Assessment & Treatment Model

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... For adults and adolescents who struggle with traumatic experiences...

... trapped in the cycle

of addiction and trauma distress

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• ATRIUM model has been successfully adapted for use with Latina women - the manual and handouts have been translated into Spanish.

• Homeless individuals and families have successfully participated in ATRIUM groups.

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• ATRIUM has been implemented to meet the needs of disabled women.

• ATRIUM groups have also been successful in correctional systems and jail diversion programs

• ATRIUM has been successful in working with populations with AIDS

• ATRIUM has been implemented with men

ATRIUM Training

Who is eligible to become an ATRIUM facilitator?

• mental health professionals and peer facilitators...

...who understand the impact of addiction and trauma.

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– The ATRIUM treatment protocol = sequel to

Trauma ReenactmentTrauma Reenactment model in

Dusty Miller

(Basic Books, 1994).

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Which addictions are we talking about?

• Chemical abuse & dependency

• Eating disorders

• Self-injury

• and Self- sabotage….like...

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• compulsive spending

• gambling

• sexual addiction

• cyber addiction

• self-destructive relationships

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• Post-traumatic stress disorder (PTSD)• Anxiety• Depression• Psychotic episodes• Personality disorders• Relational challenges

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The legacy of trauma creates

Broken hearts

&

wounded spirits

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ATRIUM heals the broken spirit through

• Connection in community…

• Wholeness in relationship…

• Mission to help others

Your Surviving Spirit

A spiritual workbook for coping with trauma

Dusty Miller’s sequel to the ATRIUM manual

(New Harbinger, 2003)

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Traumatic injury Traumatic injury

and change happen at 3 levels: happen at 3 levels:

• Mind

• Body

• Spirit

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ATRIUM teaches:

– Understanding connection between trauma reenactment and addictions

– The theory of trauma reenactment: biological and cognitive/emotional impact of traumatic stress

– Internalization of early trauma-based relationships

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Cognitive & Emotional reenactments Cognitive & Emotional reenactments of traumaof trauma

• Mental and emotional impact of trauma

• Addiction and emotional dysregulation

• Depression, Anger, Fear and Anxiety

• Dissociation

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Trauma re-enactment and the bodyTrauma re-enactment and the body• Re-living trauma through physical pain and

illness

• Body image - how trauma shapes self-image

• Touch and intimacy: challenges

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Healing the SpiritHealing the Spirit• Breaking isolation: Making connections

• Environmental healing - healing the broken spirit

• Giving something back - healing through helping others

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• The Triadic SelfThe Triadic Self =

ATRIUM teaches people to recognize and challenge

internalized representations of

trauma-based relationships

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The “triadic self”The “triadic self” = internalization of past abusive relationships

• Victim

• AbuserAbuser

• Non-protecting BystanderNon-protecting Bystander

The Internalized Abuser

The inner voice representing self-harmful behavior:

• Drinking

• Drug abuse

• Cutting

• Binge & purge cycle

• Self-sabotaging sex, harmful relationships, etc.

The Internalized Victim

The inner voice representing the small vulnerable self who experiences getting hurt…

...The “oh no, not this again!” warning message

The Internalized Non-protecting Bystander

The inner voice representing the “I can’t help it” part of the self

Reenactment of not being protected in childhood and…

Current inability to protect one’s own self

Protective Presence

• Similar to personal understanding of

Higher Power or God or Spirit

• Also the creation of personal sources of comfort the individual holds in her heart & soul.

ATRIUM - principles of trauma recovery

• recognizing and reinforcing resilience

• achieving abstinence from addiction

• healing the wounds of non-protection

• creating a sacred connection to the Universe

• learning to help others

REFERENCES

Miller, D. (1994). Women Who Hurt Themselves: A Book of Hope and Understanding. N.Y.: Basic Books

Miller, D. & Guidry, L. (2001). Addictions and Trauma Recovery: Healing the Body,Mind and Spirit. N.Y.: WW Norton.

Miller, D. (April 2003). Your Surviving Spirit: A Workbook of Spiritual Resources for Coping with Trauma. Oakland, CA.: New Harbinger.

– .

REFERENCES:

Miller, D. (2002). Addictions and trauma recovery: An integrated approach. Psychiatric Quarterly. 73, 2.

Miller, D. (1996). Challenging self –harm through transformation of the trauma story. Sexual addiction and compulsivity. 3,3.

Miller,D., (2003) End of Innocence. Psychotherapy Networker. July/August.

ATRIUM

Addiction and Trauma TrainingHealing Retreats

ATRIUM Institute - Northampton, MA(413) 584-8404

dustymi@aol.comdustymiller.org