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substance abuse creates a more complex dual diagnosis, in which recovery from PTSD must include recovery from substance abuse.


Acupuncture and PTSD Acupuncture can be helpful in the treatment of Post-


Traumatic Stress Disorder. The most common treatment involves inserting tiny needles into the ear (auricular acupuncture). Auricular acupuncture is one of the most common forms of acupuncture. It can treat a wide range of complaints, and has a strong history in helping those who suffer from PTSD. The NADA protocol was developed by Michael Smith in the mid-1970s (NADA stands for the National Acu- puncture Detoxification Association). A medical doctor in the South Bronx, Smith was searching for a way to treat common drug addictions and offer an alternative to methadone. By modifying a common auricular treatment, the NADA protocol was born, and proved to be extremely effective. Though initially developed to help treat addic- tion, it quickly became clear that the NADA protocol was helpful in treating PTSD.


The NADA Protocol According to the founder himself, the NADA protocol


works because these specific points in the ear “enhance” overall functioning by doing the following:


1. As a non-verbal intervention, it helps in reaching resistant patients.


2. It reduces anxiety and agitation while facilitating calm and receptive behavior. 3. It helps develop an inner meditative core in even the most troubled and fearful persons.


It is an effectively grounding and relaxing treatment that can be done anywhere, anytime. The NADA protocol consists of the insertion of small, stainless-steel, disposable acupuncture needles into five points on the outer surface (auricle) of the ear.


Recovery and Community The mental and physical stress experienced by an


individual caught in the middle of trauma, whether it is a natural disaster, a war zone, or a family in which abuse is happening is usually worsened by the breakdown of social infrastructure (including family, community, and govern- ment). This is where community acupuncture can play an important role in recovery. Treatment in a community acupuncture clinic allows people to experience relief from stress and trauma together as a community. When the entire group feels calm and quiet and safe, strengths of the human spirit, like hope, determination and resiliency have the space to grow. There is less pain in the body, and less pain in the spirit. Put simply: Recovery from trauma involves physical relief, mental relief, accessible and affordable treatment, and a supportive, non-judgmen- tal community. In summary, I’ve included some points from the NADA website. Opening access to the treatment itself comes first. This occurs through eliminating unnecessary bureaucratic, socio-economic and environmental barriers to starting a program of recovery. The next task is to create a zone of peace within which patients can begin to experience their own inner strengths. Finally, and in respect to the other aspects, keep it simple. The NADA protocol is often used with other treatment modalities, such as counseling, sup- port groups and self-help programs, to increase the overall effectiveness of care.


Lauren Breau is an acupuncturist and herbalist at Wild- wood Community Acupuncture in Portland, Maine. Wild- wood Community Acupuncture is a sliding scale acupunc- ture clinic where all people can be treated, regardless of income. Learn more about Lauren at www.wildwoodmedi- cine.com.


Normally, both ears are needled. Then the patient relaxes for 30-45 minutes in a safe, quiet space. Typically, the NADA protocol is done in a group setting to help build a support network among patients, and to help break down factors (and feelings) of isolation. Patients will often report an improved sense of well-being after the treatment


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