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Trauma-informed care and substance use disorders

A MEDS Ed seminar


This session of CareOregon Pharmacy’s MEDS Ed program touches on the

  • Long-term consequences of cortisol end up becoming the biggest chronic conditions that impact our life expectancy. Part 2 - 25:50
  • Much of what we know about the connection between trauma and substance use disorders is based on the ACEs study. Part 3 - 6:07
  • A central nervous system that has experienced trauma will look for outside sources to soothe. Part 3 - 13:55
  • The brain that has experienced trauma has lower dopamine levels, looking for things to engage with that help overcome perceived threats to survival. Part 3 - 19:07
  • Physiological withdrawal symptoms can mirror the neuro-hormonal landscape of revisiting a traumatic experience. Part 3 - 37:41
  • Key elements of trauma-informed care are promoting safety and control. Part 4 - 00:28

Featured speaker

  • Lydia Bartholow, DNP, PMHNP, CARN-AP

Featured content

  • Part 1: Trauma-Informed Care and Substance Use Disorders (1/4)
  • Part 2: The Neurobiology of Trauma: 101 (2/4):
  • Part 3: Neurobiology of Trauma as it pertains to Substance Use Disorders (3/4): 
  • Part 4: Basic Principles of Trauma-Informed Care as they pertain to Substance Use Disorders (4/4):

Recorded on December 13, 2019 at CareOregon, Portland, OR.



Click here to download the slidedeck


MEDS Ed is an ongoing education series by CareOregon’s Pharmacy team. It’s geared to clinicians and health care professionals involved in direct patient care at community clinics. Attendees leave with valuable tools and insights that improve how they can contribute to multi-disciplinary teams.

Each three-to-four-hour MEDS Ed session examines a disease state that highly impacts patient quality of life, requires complex management, and may lead to increased emergency department visits and inpatient stays. Speakers include pharmacists and clinicians from the community and from CareOregon staff.