Tuesday, July 31, 2012

Executive Traumatic Stress Consultant


When Confidentiality is a Priority
Corporate Executives, Celebrities, Governmental Leaders, 
Attorneys, Healthcare Providers, Entertainers, Professional Athletes….
For people who live in the public eye, an overwhelming experience presents unique challenges.  Where do you turn? Whom can you trust?  What can you do?  If you demand the utmost in confidentiality, warmth, knowledge, experience and education, consider Dr. Mark Lerner as your Executive Traumatic Stress Consultant.  
What traumatic events are
A plane crash. A terrorist attack. A hurricane…. While these events can create a marked disruption in functioning, it doesn’t have to be a highly publicized incident with a two-inch newspaper headline. Traumatic events are also the personal disasters that color peoples’ lives—including a loss, a serious illness or injury, a financial crisis, or divorce.
What traumatic stress is
Traumatic stress refers to our feelings, thoughts, actions, and our physical and spiritual reactions when we are exposed to, or witness, events that overwhelm our coping and problem-solving abilities. These events are often unexpected and uncontrollable. They compromise our sense of safety and security, and leave us feeling insecure and vulnerable.
What an Executive Traumatic Stress Consultant does
When people experience a traumatic event, there’s a rush to address physical and safety needs. We would never wait to help someone who is bleeding profusely. In the same way, we should not wait to address overwhelming feelings. We must respond to the “emotional hemorrhage” early on.
As an Executive Traumatic Stress Consultant, I empower people during and in the wake of a crisis. My consultative approach is short-term and strictly confidential. My goal is to ease emotional pain, keep people functioning, mitigate ongoing suffering and restore “human stability”.  Ultimately, I strive to empower people to harness painful emotional energy, and use that energy to propel them to not only survive, but thrive!
With whom I have worked 
For over twenty-five years, I have worked with thousands of people who have faced traumatic events. My clientele has included individuals, organizations, schools, universities, businesses, governmental agencies and large corporations. I have worked with people in the health-related fields and the entertainment industry, with educators and professional athletes, with emergency responders and governmental leaders, with artists and corporate executives. I have worked with young people and old people, poor people and wealthy people. And in all my work, I have consistently found that we wait too long, following a traumatic event, to address emotional needs.
When I become involved 
There are many faces of trauma, from the seemingly mundane to the most severe. I have a passion for helping people who are experiencing the worst events that life can bring (e.g., loss of a loved one, serious illness, accidents, domestic problems, sexual molestation, suicide, criminal victimization, war, natural disasters, etc.).
When I work with people
I enjoy working with people before a traumatic experience. For example, I empower organizations, corporations, schools and universities to develop Crisis Management Teams (CMT). Traumatic events, by their very nature, compromise our ability to think clearly. Having a road map, a preconceived plan, makes good sense. Also, I have found that people who are knowledgeable about traumatic stress, prior to a traumatic experience, regain a sense of control more rapidly in the wake of a crisis. 
In the same way that we rush to address physical needs during a crisis, I address emergent psychological needs. My goal, as an Executive Traumatic Stress Consultant, is to provide timely information, support and practical strategies that will enable people to cope more effectively.  
In the aftermath of a tragedy, I help people to seize the energy from a traumatic experience, and use it to propel them to set realistic goals, make decisions and take action!  So many people who have experienced adversity have learned to harness painful emotional energy and used it to cultivate a mission and purpose (e.g., Oprah Winfrey, Carolyn McCarthy, John Walsh, Michael J. Fox, Lance Armstrong and countless others).
How we can work together
Whatever happens to us during peak emotional experiences, the gifts of life and the losses of life, becomes etched in our minds forever. In the same way that negative information (e.g., sights, sounds and smells) stays with us, so too can positive information. Hearing the right thing, at the right time, can make a tremendous difference in how people ultimately respond to adversity. Consider the following:
I recently consulted with Walter, a law firm senior partner, following the suicide of a beloved attorney, colleague and … friend. I provided support and practical information that empowered him to help others. Walter contacted the family of the deceased in order to obtain facts, and to know what was okay to share with members of the firm. He arranged for staff members to be contacted at home and asked that they attend an important early morning meeting. Walter conducted the death notification with 28 people. He provided factual information in order to prevent rumors, and he informed staff of the families’ wishes concerning the funeral. Walter provided support for staff and offered practical documents to help people to know that their reactions were very normal, given an abnormal experience. I empowered Walter to help others.
As a Traumatic Stress consultant, I regularly travel to meet personally with my clients. Some people prefer to meet in the sanctuary of my office in Melville, New York.
When a workshop or presentation is needed
I have conducted interactive workshops and presentations with schools, universities, businesses, governmental agencies and large corporations. I customize and tailor my talks based on your needs. I have presented workshops with groups as small as six people to keynote presentations for over three thousand people.
Traumatic stress consulting versus therapy
For over two decades, I have worked with people as a Clinical Psychologist, providing psychotherapy in the months and years after a traumatic event. As an Executive Traumatic Stress Consultant, I work with people before, during and in the wake of a traumatic experience. My consultative approach is strictly confidential, short-term and goal-oriented, generally from one to several sessions.
If you’re still with me, reading this, you are already on your way to benefiting from traumatic stress consultation.
How we can get started
Simply e-mail me a brief message, describing the nature of your situation and how I may best help you—DrLerner@optonline.net.  If the matter requires immediate attention, please telephone my offices at (631) 673-3513.



SUMMARY
TRAUMATIC STRESS refers to our feelings, thoughts, actions, and our physical and spiritual reactions when we are exposed to, or witness, events that overwhelm our coping and problem-solving abilities.
WHO:  Dr. Mark Lerner, a clinical psychologist and an international Executive Traumatic Stress Consultant, focuses on helping people through traumatic experiences. His consultative approach is strictly confidential, short-term and goal-oriented … generally from one to several sessions.
WHAT:  Dr. Lerner consults regularly with people who demand the utmost in confidentiality, warmth, knowledge, education and experience. His primary goals are to ease emotional pain, keep people functioning, mitigate ongoing suffering and restore “human stability”. He strives to empower people to harness painful emotional energy—and use that energy to propel them to not only survive, but thrive.
WHERE:  Consultation may be take place at the offices of Mark Lerner Associates, Inc. in New York. When arranged, Dr. Lerner travels internationally, as an Executive Traumatic Stress Consultant, to organizational venues and client’s private residences.
WHEN:  Dr. Lerner seeks to empower people with practical information and proactive strategies before, during and in the wake of a traumatic event. In the same way that there is a rush to address physical and safety needs during times of crisis, Dr. Lerner strives to address our feelings, thoughts, actions, physical and spiritual reactions—traumatic stress.
WHY:  By reaching people early, we can potentially prevent the acute difficulties of today from becoming the chronic problems of tomorrow.
HOW:  Email Dr. Lerner a brief message, describing the nature of your situation and how he may best help you—DrLerner@optonline.net. If the matter requires immediate attention, telephone Dr. Lerner at (631) 673-3513.

Monday, July 30, 2012

The Golden Hour for Traumatic Stress


In medicine, the "Golden Hour" generally refers to the period of time, lasting from minutes to hours, following a serious physical injury. The chance of a patient surviving is greatly increased if immediate care is received during this period of time.

In the same way, there is a golden hour to address the "emotional hemorrhage" following traumatic exposure. In other words, by reaching people early with timely information and support, we can ease emotional pain, keep people functioning and mitigate ongoing suffering.

Traumatic stress refers to our feelings, thoughts, actions, and our physical and spiritual reactions when we’re exposed to, or even witness, events that overwhelm the ability to cope. 

We must not confuse traumatic stress, the normal response to an abnormal event, with Posttraumatic Stress Disorder (PTSD).  PTSD, along with other psychiatric diagnoses, may apply to individuals who continue to experience debilitating symptoms that compromise the ability to function.

Rather than rushing to label people, let's focus on increasing awareness of traumatic stress, and reaching people during the golden hour, with timely information and support.


marklerner.com

Wednesday, July 25, 2012

How Do People Typically Respond During a Crisis?



There’s no standard or typical way in which people respond during a crisis. Some of us respond immediately, while others may experience a delayed reaction, sometimes months or even years down the road. Some individual’s reactions may last for a long period of time. For others, traumatic stress reactions are short-lived.
The reactions/responses that follow are frequently experienced during times of crisis. It’s important to recognize that these reactions do not necessarily represent an unhealthy response. Rather, they may be viewed as normal responses to an abnormal event. 
If these reactions continue to be experienced in the future and are joined by other symptoms such as recurrent distressing dreams, flashbacks, avoidance behaviors, excessive jumpiness, or panic attacks, and interfere with social, occupational or other important areas of functioning, a stress disorder may be present. Consideration should be given to consulting with a mental health professional.
Emotional Responses may include:
    • shock
    • denial
    • dissociation
    • panic
    • fear
    • aloneness
    • hopelessness
    • helplessness
    • emptiness
    • uncertainty
    • horror
    • terror
    • anger
    • hostility
    • irritability
    • sadness
    • depression
    • grief
    • guilt
Cognitive Responses to traumatic exposure are often reflected in:
    • impaired concentration
    • confusion
    • disorientation
    • difficulty in making a decision
    • a short attention span
    • suggestibility
    • vulnerability
    • forgetfulness
    • self-blame
    • blaming others
    • lowered self-esteem
    • thoughts of losing control
    • hypervigilance
    • perseverative thoughts of the traumatic event
Behavioral Responses may include:
    • withdrawal
    • “spacing-out”
    • non-communication
    • changes in speech patterns
    • regressive behaviors
    • erratic movements
    • impulsivity
    • a reluctance to abandon property
    • seemingly aimless walking or pacing
    • an inability to sit still
    • an exaggerated startle response
    • antisocial behaviors
Physiological Responses may include:
    • elevated blood pressure*
    • difficulty breathing*
    • shock symptoms*
    • chest pains*
    • cardiac palpitations*
    • rapid heart beat
    • muscle tension and pains
    • fatigue
    • sleep difficulty and disturbing dreams
    • fainting
    • flushed face
    • pale appearance
    • chills
    • cold clammy skin
    • increased sweating
    • thirst
    • dizziness
    • vertigo
    • hyperventilation
    • headaches
    • grinding of teeth
    • twitches
    • gastrointestinal upset
*These require immediate medical evaluation.
Spiritual Responses to a traumatic incident often include:
    • anger and a distancing from God
    • withdrawal from attending religious services
      or an uncharacteristic involvement in
      religious community activity
    • feelings that faith practice (e.g., prayers,
      scriptures, hymns, worship, communion) is
      empty and without meaning
    • a questioning of one’s basic beliefs and anger
      at clergy

Monday, July 23, 2012

Understanding Stress, Traumatic Stress and Posttraumatic Stress Disorder (PTSD)



When we think of stress, we generally associate it with the potential wear and tear on the mind and body as we adjust to daily changes and challenges in our lives. Yet there are both negative and positive attributes to stress. On the negative side, stress can compromise the ability to think clearly, cause one to feel anxious, disrupt the ability to sleep and, ultimately, lead to physical illness. On the positive side, stress can be a powerful force that enables one to get things done and be more productive. Some people describe how they work better under stress—when they’re feeling pressured.

Some events in our lives can be so overwhelming that we perceive a serious threat to our physical well-being, or the well-being of others. We may experience intense feelings of fear, helplessness and horror. We may feel overwhelmed, unsafe, insecure and vulnerable. This is traumatic stress—our feelings, thoughts, actions, and physical and spiritual reactions when we’re exposed to, or even witness, events that overwhelm our ability to cope.

People experience traumatic stress when they’re exposed to a disaster or catastrophe—a plane crash, terrorist attack, military combat, or an earthquake. Yet it doesn’t have to be a highly publicized event with a two-inch newspaper headline. People also experience traumatic stress during the personal disasters that color their lives: facing a serious illness or injury, dealing with the tragic loss of a loved one, being physically or sexually violated, experiencing an accident, or living through a divorce.

Like stress, traumatic stress can also have a positive side. It can be the force that propels people to cultivate a mission and, ultimately, live with a new sense of purpose. By understanding what traumatic stress is, and by knowing that it’s a normal response to an abnormal event, you’ll be empowered and in a better position to survive and thrive.

We must not confuse traumatic stress with Posttraumatic Stress Disorder (PTSD). PTSD, along with other psychiatric diagnoses, may apply to people who continue to experience ongoing debilitating symptoms after exposure to a traumatic event. Let me explain just a bit.

During a crisis, your brain is bathed with chemicals that are primarily designed to keep you alive. However, these chemicals can “work overtime” causing you to feel anxious, excessively watchful, panicky, angry and depressed. They can certainly compromise your ability to function into the future.

I believe that we’re too quick to label people in an effort to regain a sense of control that adversity seems to have taken away. Unfortunately, these labels can be very destructive, in and of themselves. They can lead to a “self-fulfilling prophecy.” If you hear it, you begin to associate everything you do as “due to my PTSD, my disorder.”

We can’t avoid experiencing losses, illness and other tragedies during our lifetimes. They’re part of the human experience. And we certainly can’t inoculate ourselves from experiencing traumatic stress. Again, it’s a normal response to an abnormal event. However, by having an understanding of what’s happening to us, while it’s happening, and by knowing that our reactions are normal, we can become empowered to work toward regaining a sense of control of our lives.

We can potentially prevent acute stress reactions from becoming chronic and debilitating stress disorders.