PTSD Anxiety Treatment Resources Foley L Nash LPCS

PTSD & Anxiety Treatment & Resources Foley L. Nash, LPC-S, LMFT-BAS Director of Behavioral Health, Aetna Better Health of Louisiana March 6, 2020 - Online presentation

Confidentiality & Disclosure: CONFIDENTIALITY: By receipt of this presentation, each recipient agrees that the information contained herein will be kept confidential and that the information will not be photocopied, reproduced, distributed to, or disclosed to others at any time without the prior consent of the presenter(s). (exception: public domain material) PRESENTER DISCLOSURES: 1. The information contained in this presentation is intended for educational purposes only, and is not intended to prescribe a standard of care or exclusive course of treatment, nor be a substitute for treatment. 2. Foley L. Nash attests that he does not have any financial relationship and/or commercial interest whose product and/or service may be relevant to the educational content of my presentation, and/or in the planning of this educational activity. 3. I therefore attest that I have no relationship or interest of any type that could be reasonably construed as a conflict of interest. 2

About the Presenter: Foley Nash, LPC-S, LMFT-BAS is a Licensed Professional Counselor, a Licensed Marriage & Family Therapist, & a clinical supervisor for both disciplines. Foley is a former President (2005 -2007) of the Louisiana Mental Health Counselors Association (LMHCA), & a former Chair of both the Ethics & the Government Relations Committees for the Louisiana Counseling Association (LCA). In practice since 1984, & formerly the Children’s System Administrator of the LBHP under Magellan, he is currently the Director of Behavioral Health for Aetna Better Health of Louisiana, as well as in continuing part-time private practice in various locations around the state. Foley & his wife Glenda have been dually certified as both foster & adoptive parents. Natives of northeast Louisiana (Monroe area), Foley & Glenda have also lived in Lafayette (1990 -2001), & in Slidell (2001 -2012), & relocated to Baton Rouge in 2013. They have one son, now 31, whom they adopted from foster care when he was age six. They have both worked closely over the years with the problems that stem from his early childhood abuse (early ACEs): Bipolar Disorder, Attachment Disorder, Conduct Disorder, ADHD, PTSD, & Pervasive Developmental (now classified as ASD) issues. As a result of history & education, Foley has considerable experience working at various levels with both the clinical & the family issues impacting individuals & families in Louisiana. 3

Learning Objectives As a result of attending this activity, participants will become familiar with selected: 1. beneficial assessment tools/resources 2. psychoeducational materials for clients 3. intervention & self-help materials for clients 4. self-care resources for providers/clinicians Please put questions in chat, or feel free to email to me afterwards at foleynash@gmail. com or Nash. F@aetna. com 4

Section 1 - Selected Assessment tools/resources, p. 1 Assessment Tools & Relationships are Key to Addressing Childhood Trauma a. California reimbursing ($29) for 1 of 3 ACEs screens PEARLS – Pediatric ACEs Screening and Resiliency tool b. Online Assessments (psychiatry. org) DSM 5 Crosscutting and multi-level screens (usually 1 page each, with accompanying introduction/directions, & scoring guide) Examples: Level 1 – Adult, Level 2 Anxiety – Adult, Severity of Posttraumatic Stress Symptoms – Adult, & Level 2 Repetitive Thoughts and Behaviors – Adult 5

Section 1 - Selected Assessment tools/resources, p. 2 c. Other tools: (with periods of coverage) -- Mood Disorder Questionnaire (MDQ) -- CUXOS Anxiety Scale (Clinically Useful Anxiety Outcome Scale, & interpretation guide) – 1 week -- PHQ-SADS (4 weeks) -- GAD-7 Generalized Anxiety Disorder 7 -item scale (2 weeks) -- Holmes-Rahe Social Readjustment Rating Scale (12 months) -- Life Change Index Scale (version of Holmes-Rahe above) -- Life Events Checklist (lifetime, w/degrees of exposure) -- IES - Impact of Event Scale – Revised ((Weiss & Marmar) (7 days) 6

Section 2 - Client materials -psychoeducation 1. Understanding PTSD Treatment – booklet 2. What is Anxiety? 3. What Are Panic Attacks? 4. Fight-or-Flight Response – fact sheet 5. Anxiety Overview 7

Section 3 – Client Materials - Selected self-help & interventions part 1 Creating An Emotional Emergency First Aid Kit (Between. Sessions. com -materials are provided in pdf format, vs. customizable – w/subscription) Protective Factors Grounding Techniques Healthy vs. Unhealthy Coping Strategies Relaxation Techniques Progressive Muscle Relaxation Script Deep Breathing Mindfulness Exercises Mental Health Benefits of Exercise 8

Section 3 – Client Materials - Selected self-help & interventions part 2 (Therapist. Aid. com – pdf format, vs. customizable – with subscription) 9 Triggers Emotion Regulation Skills Distress Tolerance Skills Self-Care Assessment How Inflexible Are You? Core Beliefs Cognitive Distortions Challenging Negative Thoughts Stress Management (principles & tips)

Why Is counseling important for anxiety? 10

Section 4 – Self-care for providers/clinicians Taking Care of Yourself = job ONE! Pro. QOL IV – Professional Quality of Life Revision IV o Also: Provider Resilience app (Apple & Android) Includes Pro. QOL Opening Minds Scale for Health Care Providers (OMS -HC-15) To Thrive and Flourish: Trauma Is Only Part of My Story Provider Self-Care (During Relief Work) 11

Counseling those with anxiety provides another viewpoint - value of reframing! 12

Q & A: Questions & Answers 13

Contact Information Foley L. Nash, LPC-S, LMFT-BAS Director of Behavioral Health, ABHLA 504 -417 -0136 (Aetna cell) Nash. F@aetna. com or www. foleynash. com foleynash@gmail. com 985 -774 -3252 (cell) Thank You for Your Time! I Hope You Find the Information Useful! 14