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Reclaiming Safety Through Counseling

by brian in HEALTH, Support & Healing

Reclaiming Safety Through Counseling

Kendall Circle Headshot

By Kendall Wolz

In November 2022, Mosaic Georgia relaunched on-site counseling services for individuals and families who have experienced sexual violence. We are grateful to offer this service to continue the healing journey for those who seek care at Mosaic. Our unique, talented, and passionate staff provide individual, family, and group therapy.

Our team is ready to patiently and compassionately walk alongside individuals and families after the trauma of sexual violence. We truly understand the challenges this type of trauma brings and how it impacts lives daily.

Using trauma-focused interventions, we assist you in reclaiming safety, rebuilding health, and experiencing justice through healing.

One Size Does Not Fit All
Our staff utilizes models that we believe would be the best fit for each client. We do not have a “one size fits all” approach to therapy. Each of our therapists bring slightly different backgrounds and training which allows us the flexibility to match their skills with the client’s needs. All of our approaches are grounded in an understanding of how trauma impacts the whole person and the system to which they belong (family, friends, work, school, community, etc.). The therapeutic interventions seek not only to relieve the distressing symptoms a client experiences after trauma, but also to help them process the trauma so they can live free from the chains of trauma. Our philosophy is to meet each individual where they are in their healing journey and work closely with them to provide the necessary tools to reach their therapeutic goals.

Why Us?
We aren’t just here to help with symptom relief. We recognize that true healing requires a holistic approach. In addition to more traditional, clinical forms of therapy we work closely with our Wholeness Collective program to ensure clients have the opportunity to pursue nontraditional models of healing including trauma-informed yoga, restorative yoga, dance classes, and Finding Hope Support Groups.

Meet our Team
Kendall Wolz, LPC moved to Georgia and joined our staff in October 2022. Prior to joining Mosaic, she worked as the Center Director of a nonprofit organization in New Orleans that served individuals experiencing homelessness, struggling with addiction, and recovering from trafficking. She has her Masters of Arts in Counseling with a specialization in Clinical Mental Health Counseling. She is currently working on her PhD in Counselor Education and Supervision. Kendall comes to Mosaic with first hand experience of what it is like to be a client at a Child Advocacy Center. As a Licensed Professional Counselor, Kendall is trained in both Eye-Movement Desensitization and Reprocessing (EMDR), Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), and Trust-Based Relational Intervention (TBRI). Kendall loves all things coffee and reading a good book.

Hagikah Birden is a licensed master social worker and therapist working towards clinical licensure. She joined Mosaic in October 2022 after moving to Georgia from the San Francisco Bay Area, California. She has a Masters in Special Education and a Masters of Social Welfare (MSW). Prior to becoming a therapist, she was a special education teacher working with teens and adolescents with cognitive, developmental and behavioral disabilities. Hagikah has worked as a social worker, advocate and educator in schools, criminal legal settings, and with survivors/victims of sexual assault in the Bay Area. Her experiences have significantly shaped her passion for and understanding of how exposure to violence and abuse can impact the individual, family, and community. She is excited to continue this work in the South.

Emily Felton is a Therapist/Counselor for Mosaic Georgia. She is a Licensed Master Social Worker in Georgia and is currently working on her LCSW. Prior to joining the team, Emily gained experience as a hospice/medical social worker and as a mental health therapist in the prison system. She is excited to continue her social work journey with us by providing therapy to children, families, groups, and individuals that have experienced trauma. Her areas of focus include: trauma, crisis intervention, addiction, life adjustment difficulties, parenting issues, anxiety, depression, and death and dying, grief and loss, and self-harm. Emily loves family time and traveling.

Who We Serve
We currently accept clients ages 8 years and older who have been impacted by sexual trauma. We offer individual, family, and group therapy. Appointments are scheduled Monday-Friday between 9 am and 5 pm with some evening availability until 8 pm.

To receive more information about our counseling services, please visit our counseling webpage.

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Mosaic Georgia Support Groups: Healing Through Community

by brian in HEALTH, Support & Healing

Mosaic Georgia Support Groups: Healing Through Community

Kendall Circle Headshot

By Kendall Wolz
Mental Health and Wellness Manager at Mosaic Georgia

Interpersonal violence, including sexual assault, often decimates a person’s ability to trust others. The violation of personal boundaries and trauma associated with sexual assault often leaves survivors questioning whether another person will hurt them the same way. One may even question their own ability to discern who is trustworthy and who is not. In the aftermath of interpersonal violence, individuals may feel more isolated than ever before.

At Mosaic Georgia, we value the role community plays in healing from trauma. To demonstrate this value, we offer multiple opportunities for survivors to connect with others who have experienced similar harms. Joining a support group or beginning group therapy is intimidating for many. In this article, we will strive to provide a better understanding of what one can expect from the different groups offered at Mosaic Georgia.

Support Group or Group Therapy- What’s the Difference?

Mosaic Georgia offers both peer-led support groups and clinician led group therapy. The goal of a support group is to enhance interpersonal relationships and to connect with others who have experienced similar harms. Participants will learn from one another with lived experiences. Support groups may follow a curriculum or a script so that participants experience consistency in the format of the session. At Mosaic Georgia, group therapy sessions are led by a licensed mental health professional. They typically follow a therapy model that may be focused on psychoeducation (teaching) or processing (experiencing). Our psychoeducational groups have focused on skill-building to help survivors cope with the distressing symptoms they may experience after trauma. Our process groups provide a space where participants can identify and discuss the present moment impacts of the trauma.

Open Group or Closed Group- What’s Right for Me?

Whether a group is open or closed informs when and how a participant can join the group. Open groups, like our Finding Hope Support Groups, allow individuals to join at any time during the year. A participant does not have to commit to attending a certain number of sessions to be accepted to the group. This type of group is perfect for someone who wants to participate as they are able, build relationships with other survivors, and have a safe space to learn coping skills and identify how to heal from trauma.

Closed groups often meet for a limited number of sessions, and participants must be approved to participate. Our clinician-led groups are closed groups, meaning one has to be accepted by the facilitator before attending. Then facilitator will assess the individual’s needs ahead of time and determine if that group would be an effective mode of therapy for them.

It’s Normal to Feel Anxious About Attending Group Therapy

Whether you choose to join a support group or clinician led group, it is normal to feel anxious about attending. At Mosaic Georgia, we recognize the bravery and courage it takes to attend a group session. We are happy to answer any questions you have about the different groups and can help you decide what the best option for you might be. Below you will find a list of groups that will be offered in 2024 at Mosaic Georgia.

Finding Hope Support Groups

This is an open peer-led support group for adult female survivors of childhood sexual abuse. We have sessions offered in English and Spanish. This group meets twice per month. Read more about Finding Hope and view the upcoming dates, or register for this support group.

Non-Offending Caregiver Support Group

This group is designed for non-offending parents/caregivers of children who have experienced childhood sexual abuse. This is a closed group that is offered at least twice per year in both English and Spanish.

Mosaic Empowerment Group

This is a closed, clinician-led psychoeducational group for adult female survivors of sexual assault or childhood sexual abuse. This group is offered at least twice per year.

Mosaic Trauma Processing Group

This is a closed, clinical-led process group for adult female survivors of sexual assault or childhood sexual abuse. This group is offered at least once per year.

Please inquire here about joining one of our closed groups.

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Our 24-Hour Crisis Line

by miguelm in HEALTH, JUSTICE, SAFETY, Support & Healing

Our 24-Hour Crisis Line

 

Survivors of sexual assault may experience many different emotions after the incident. Each individual processes and responds to the trauma differently. Often there is the confusion of what steps to take next. A survivor may wonder whether he or she should report the incident or obtain specialized medical attention or counseling. During this time of uncertainty, Mosaic Georgia’s year-round, 24-hour confidential crisis line is available to help victims and their families by answering their questions and finding resources to support them through this difficult time.

The crisis line is open to everyone. Our crisis line connects the caller with an on-call trained advocate. The advocate listens to the caller and addresses his or her questions in a calm and professional manner. The advocate can also provide counseling referrals or help the individual make a report to law enforcement.

Our crisis line is free, confidential, and available all day and night. Our advocates are here to listen to you and believe you while they provide guidance on the possible steps you can take. If you, a family member or a friend is ever in need of our assistance, we are always just one call away at (866) 900-6019. No matter the circumstances, we are here to help you without judgement.

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SANE Spotlight: Remember the SANEs during National Nurses Week

by brian in HEALTH, Professional Insights & Experiences

SANE Spotlight: Remember the SANEs during National Nurses Week

By Marina Sampanes Peed
Executive Director of Mosaic Georgia

Mosaic Georgia SANEs in action. From left to right: Melissa Drinkard, Kathy Carter, Teresa Bullard

As National Nurses Week is upon us, we call attention to a small but mighty forensic nursing specialty: Sexual Assault Nurse Examiners (SANEs). SANEs are specially trained registered nurses who provide compassionate care to survivors of sexual violence including assault, abuse, and sex trafficking.

The SANE practice is at the intersection of health care and criminal investigation. Their patients are both people and evidence. They collect evidence, document injuries, and provide treatment and support to survivors in a way that is trauma-informed and respectful. When cases proceed to court, SANEs are often called to testify in proceedings.

Kathy Carter, director of Forensic Medical Services, is often asked why she chose to practice as a nurse in such a difficult specialty. Kathy shares her Why: “While I cannot end sexualized violence, I can offer trauma informed care to patients after an assault or on-going abuse which promotes a feeling of safety, empowerment and healing. This level of care can make a HUGE difference in the trajectory of the patient’s journey.”

Victims of sex crimes are more likely to report the assaults and participate in investigations after receiving trauma-informed care from SANE and advocates. Like all people who seek medical care, the experience is more effective when the care providers lead with listening and believing.

Mosaic Georgia was the first Sexual Assault Center in Georgia to develop the community-based SANE/medical forensic program. In 1993 (then Gwinnett Rape Crisis), we treated our first patient/victim of rape in our center. Over the last 30 years, our SANEs have provided more than 6,000 medical forensic exams to people ranging in age from 3 months to 90 years. The medical care is enhanced with victim and family advocacy, mental health services, and other supports in one location.

To respond to calls 24/7, the community relies on committed SANEs who go on-call after hours and weekends and respond to our center when needed. These are special people. If you meet a SANE, let them know you appreciate their dedication.

Mosaic Georgia’s SANE Success Institute professional education, peer review, and an online community for SANE practitioners. It is a lively forum of support and connection for SANEs across Georgia and nearby states. For more information, https://www.mosaicgeorgia.org/education-training/

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Making Room for Grief After Trauma

by Susan Nerenbaum in HEALTH, Mental Health & Trauma, Uncategorized

Making Room for Grief After Trauma

Kendall Circle Headshot

By Kendall Wolz
Mental Health and Wellness Manager at Mosaic Georgia

One of the often-overlooked responses following a trauma like child sexual abuse or sexual assault is the pervasive grief. For many survivors of sexual violence, their life looks different after an outcry or disclosure of their experiences. It is vital in our care for survivors and their families, that we make room for grief and provide a safe space where the losses are acknowledged. 

When a child discloses childhood sexual abuse, that outcry is not usually accompanied by an understanding of what will happen after they tell someone. Many times, children are only questioning if the perpetrator will follow through on their threat of what would happen if they did tell. If I had known what losses I would endure in the aftermath of my disclosure at 13 years old, I’m not sure I would have had the same courage to tell. Not only are there personal losses, but media has revealed how negligently disclosures are handled.  

Disclosures are costly, but they are worth it. The response to a disclosure is very important as it makes a significant difference in the experience of the survivor.  

What are the losses a survivor may need space to grieve?
 

Relationships

RAINN estimates that 93% of juvenile victims of sexual violence know their perpetrator.1 Many perpetrators do not act “all bad” within the family unit. In fact, they are often loved and trusted by family members. Following many disclosures in which law enforcement and child protective services become involved, the perpetrator and other family members are separated. In my family, my mom, siblings, and I moved from the home we shared with my abuser into a bedroom at our grandparents’ home. Despite the horrific crimes my abuser committed, he had been a constant in our lives for over seven years. My siblings and I loved our cousins/aunts/uncles/grandma on that side of the family. In what seemed like an instant, those relationships were irreparably damaged. While the relational loss to my abuser was absolutely necessary and what we needed, its rationality did not squelch the pain of losing family.
 

Environment 

In situations where the offender is a member of the household, the victim and their non-offending family member may not be able to return to the place they once called home. On November 10, 2004, my siblings and I went to school in the morning, and we never returned to the place we had called home with our stepdad for years. We moved away from a very rural area with plenty of land to run around on and pets, including a potbelly pig. We moved into a bedroom in our grandparents’ home in a neighborhood and were unable to bring them with us. We never saw our pets again after we went to school that morning. We were incredibly grateful to remain together and live in a home full of love; however, it was a major adjustment for us during a very stressful time.
 

Financial 

Financial losses occur when the perpetrator is a contributor to the household’s income. Not only might families experience the loss of an income, but they also incur new expenses including mental health treatment, absenteeism from work due to appointments, housing expenses for relocation, and civil court expenses in addition to others. Families may no longer be able to engage in previously normal leisure activities like eating at a restaurant or going to the movies. The increased financial burden creates additional stress and leaves families grieving the life they once had.
 

How Mosaic Georgia Helps 

At Mosaic Georgia we recognize the long-lasting impacts of sexualized violence and strive to provide meaningful support by acknowledging the losses and alleviating some of the burdens. When any person walks through the doors at Mosaic, we seek to build safety and trust, and to be a positive force in that person’s life. We provide opportunities for survivors to build their support system with others in the community through our Wholeness Collective offerings. While we are not able to reclaim homes, we purposefully create warm environments in our offices that we hope promote safety and comfort. To alleviate the financial burden our clients face, we provide free supportive services including advocacy, counseling/therapy, and legal services.  

Grief after trauma encompasses much more than the loss of relationships and people in our lives. It is vital that anyone who works with trauma survivors creates a space for grief as part of the healing process. 

My abuser was someone I loved, trusted, and wanted to know and be known by. He was someone I saw every single day. My family accepted him and welcomed him.

If you’ve followed my blog or read previous posts, you know the excitement I expressed for the popular television show, Who Wants to Be A Millionaire. I literally could not wait for the show to air in 1999. We only had antennas and two televisions in the trailer where I could watch the show. One television was in the living room but that is where my siblings often did their homework in the evening. The other television was in my mom and stepdad’s bedroom. When my stepdad invited me to watch the show, it seemed like the best of both worlds. Time with the person I trusted and loved AND I got to watch what I believed would be the best show ever.

It seems strange to label sexual abuse as gentle, but from a physical perspective, it was, in the beginning. I didn’t leave the room that first night in any kind of pain. But emotionally, I was filled with ambivalence.

I LOVED the show, Who Wants to be a Millionaire.

I ENJOYED getting the undivided attention of my stepdad.

I TRUSTED my stepdad would never do anything to harm me.

I was DISGUSTED by the evidence of the abuse on me.

I was CONFUSED by the passive threat he made before I left the room.

I FEARED someone would find out about our new secret.

At eight years old, these were strong, complex emotions that totally overwhelmed my system. I could not assess what was true, right, or healthy. As a result of the ambivalence, I had to rest on my default belief which was based on a general trust of people older than me. I needed those people to survive. If I could not trust them, how would I make it in the world?

Kids should be able to long for and love quality time with a parent. It is normal and healthy for a child to desire those things. My need for that perception of love was normal. I chose what was normal over and over- quality time with my stepdad and getting to watch my favorite show. Though it came with other hard feelings, the desire for love and acceptance won, over and over again.
So, ambivalence kept me quiet for a long time. And it keeps a lot of kids quiet.

When you hear a child disclose abuse, please know they have likely fought through the power of ambivalence. It is an incredible step of courage and bravery to go against the defaults to tell their story. Please accept that the ambivalence will not disappear overnight. Healing takes time.

Kendall Wolz heads up the Mental Health and Wellness team that provides individual, family, and group therapy to those seeking care at Mosaic Georgia. As a survivor herself, she has a unique insight into the challenges of living with past trauma, how it impacts lives daily, and what the process of healing truly looks like. Her personal website, Brave Girl, Speak unpacks some of the complex issues that come along with being a survivor of sexual violence. Visit Kendall’s site to read more about her personal journey healing from trauma and peeling the layers to reclaim her true self.

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How Trauma Shakes Up the ‘Puzzle Pieces’ of the Brain

by brian in HEALTH, Mental Health & Trauma

How Trauma Shakes Up the ‘Puzzle Pieces’ of the Brain

Kendall Circle Headshot

By Kendall Wolz
Mental Health and Wellness Manager at Mosaic Georgia

A transcript of an interview Mosaic Georgia’s Director of Mental Health & Wellness, Kendall Wolz

Can you tell us a little about your background?

My name is Kendall, and I am the director of mental health and wellness services here at Mosaic, Georgia. I hold a LPC, which means I’m a licensed professional counselor. So I get to not only oversee our program, but also provide direct services to clients.

 

How long have you been in this field?

I would say I’ve been in the helping profession since 2010, so gosh, 14 years. But specifically as a counselor, I’ve been seeing clients since 2018. I’ve been with Mosaic Georgia for a year and a half. It’ll be two years in October. I joined the staff and helped launch the Mental Health and Wellness Services in October of 2022.

 

So that launches us right into what is now upon us – Mental Health Awareness Month, which is of course the big topic. Let’s talk how trauma affects the brain. People tend to forget that the brain is an organ that has its own way of acting, the way any other organ would in the body. There are some scientific elements in terms of how the brain might react, or behaviors that might show up, that people who have not experienced significant trauma may not understand. Can you talk a little bit about how the brain typically records memories and then how that process could change when the body is in a mode of fight or flight?

I always talk about the brain as an organ of our body that is designed to protect us, to keep us safe, to keep us alive. Many of our organs have that role. And when they’re not threatened, when they’re not sick, when they’re not facing challenges, they usually work properly and do just that. However, when we experience something like a traumatic event, it sort of rattles our systems and they don’t function as they do in other circumstances.

If we think about the brain in its neutral or baseline state where everything is fine, memories are encoded using all parts of our brain. There’s the sensory pieces of memories that get recorded so we can recall how we felt when certain events happened, what something may have smelled like or tasted like or felt like to touch; we can recall maybe what thoughts we had. We can also recall those narrative portions of that event. We can tell the story of ‘this is what happened’ and ‘that is what happened’. So I compare it [the brain] to a puzzle. In that neutral state, we have access to all the puzzle pieces and that memory is getting stored as a complete puzzle.

However, when trauma happens or a traumatic event occurs, those memories don’t get stored as a full puzzle. Instead, it’s like someone shook that puzzle up or tossed all the pieces up in the air. And that memory is getting stored with some of the puzzle pieces and maybe not all of them. And the way that that typically looks is that when a person has experienced a trauma, they have difficulty accessing some pieces of that memory.

 

How does this show up when someone discloses abuse?

It may mean they can’t tell us that narrative portion of ‘I did this, and ‘then I did this, and then this happened’, or give us that complete storyline that we desire. Instead, what they may recall is what was playing on the TV in the background for example. There’s a very strong sensory aspect of the memory. They may recall how something smelled and can tell you in great detail what that was like, but it wouldn’t be fair for us to expect them to be able to give us the full puzzle of that memory, because that’s just not how the brain stores what has occurred.

Very rarely when a trauma occurs is a person going to think about, let me jot down, let me remind myself what time it is when this happened or what day it occurred. And especially when there’s chronic or long-term trauma events that occur multiple times in multiple settings, it’s difficult. The brain isn’t thinking, ‘what time is it, what day is it?’ Instead, the brain is thinking, ‘I’ve got to survive’.

People unfortunately can tend to question why someone would wait a long period of time to disclose abuse. Can you talk a little about how common that is and how it affects the healing process?

Some studies have shown and some organizations have stated that the average age of disclosure for childhood sexual abuse is the age of 55. And so if that length of time has passed since a trauma occurs, what we typically see is that – let’s say a person never received any form of treatment for a trauma and many years have passed – it is challenging.

Typically that trauma, that may have been a single event, becomes more complex because of the symptoms they experience, the ways that they may try to self-soothe or to cope, and the way that other people respond to them. Often we see that there’s this pattern of multiple hurts and harms over their lifetime,

but it’s never too late to begin therapy and it’s never too late to heal.

We have many, many studies and I have a lot of personal experience from my work where I’ve seen people who didn’t disclose as kids and are now adults, they work through their trauma and are able to find that joy in life again that was stolen when the trauma occurred.

 

The Hand Model of the Brain

I’ll sometimes use Dr. Dan Siegel’s hand model of the brain. The way that that works is you ball up your fist and think of it as your brain. The front part of our brains behind our forehead is our prefrontal cortex. Not only is it the last thing to develop – our executive functioning–decision making, reasoning, higher level thoughts – but it’s also the least important when our lives feel threatened, or a traumatic event is occurring.

If you open your hand and lift up the four fingers, then you would see your lower brain and your midbrain. For survival, we need all the energy in this part of our brain. This is where our stress hormones are released. This is where our body goes into that fight or flight response which is what keeps us alive and keeps us going.

Sometimes we’ll talk about when a kid gets dysregulated, their ‘lid is flipped’. They can’t access the front part – the executive functioning piece, the thought process, the reasoning. It’s the same way when a trauma occurs, we’re not going to have time to think about ‘what am I going to do?’ Instead, we just go into the automatic responses.

It’s just really what our brain does. It’s what it was designed to do, But it’s not exactly what society wants from people.

 

Is access to the more episodic information, like dates, times and locations gone forever?

A lot of times people are expected to give that full puzzle memory quickly–right away. But really their bodies are still in that hyperarousal state, that fight or flight response. If we just give them some time to be able to regulate and feel safe again, then sometimes they are able to access more of those pieces of the puzzle.

I think the expectation or the hope is that they can provide that information right away. And sometimes it’s just not reasonable for us to expect that.

Do you think that most responders who are dealing with those types of situations and listening to disclosures understand the challenges in recalling information, or do you think there’s a lot of work that needs to be done in creating more awareness around it?

I think there’s definitely room for more awareness. However, we have come a long way from where we were a decade ago and definitely, for example, three decades ago. There has been improvement. There is more awareness and understanding from a science perspective of what happens with our brain. But I think it takes a while to shift attitudes and long held beliefs about expectations of how a survivor should act after trauma.

An eye-opening animated video using a real-life scenario, effectively illustrates how trauma affects the brain.

____________________________________________________________________________

Other Helpful and Informative Resources

Mosaic Georgia 24/7 FREE Crisis Line: 866-900-6019

Watch as Dr. Seigel explains his hand model of the brain

Read more from Kendall Wolz about trauma and the brain

Read about the trauma brain in Psychology Today.

Ready to heal?
Our Wholeness Collective offerings help facilitate a mind-body connection that encourages personal growth, healing, and resilience.

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Trauma and the Brain: A Look at How Traumatic Events Shape Memory and Perception

by brian in HEALTH, Mental Health & Trauma

Trauma and the Brain: A Look at How Traumatic Events Shape Memory and Perception

By Kendall Wolz
Mental Health and Wellness Manager at Mosaic Georgia

At the age of 13, I disclosed years of sexual abuse by my stepfather. Unfortunately, the rural area I lived in did not yet follow the robust Child Advocacy Center model that is the protocol today. This meant that I had multiple interviews by various investigative parties. I can recall extreme frustration when I was asked “when did the abuse start, how old were you, how many times did it happen?”

I felt intense fear that people would not believe me because I could not give the answers to those seemingly simple questions. The reality is that my brain did not file the memory of the first incident, or subsequent incidents of abuse as a biographical memory where the date and incident number were important.

Instead, what I could tell investigators included: the show, Who Wants to Be a Millionaire, was playing in the background, what my favorite pair of pajamas I wore most frequently looked like, what the abuse felt like to my body, and the fear that swept over me.

This is an example of how trauma memories are often stored.

Let’s explore how this happens.

The Brain: One Fascinating Organ

Weighing on average 3 pounds, the brain is the most complex organ within the body. It processes every piece of information received through the five senses and communicates with the rest of the body to keep us safe and alive.

How do experiences impact our brains?
Decades of research have shown that trauma has a significant negative impact on various structures within the brain. Before discussing those impacts, here is a look at the healthy brain functions that are harmed by trauma.

  • Brain Stem: Responsible for our survival instincts and functions such as heart rate, respiration, blood pressure, consciousness, and sleep.
  • Midbrain: Stores memory, processes emotions, and serves as a connection between our cortex and our brain stem.
  • Cortex: The most highly evolved structure of the brain, responsible for cognitive processing, decision making, and controlling thoughts and emotions.

Fight or Flight Leads the Way

When a person experiences an actual or perceived threat to their safety or wellbeing, the lower part of the brain, the brain stem, becomes highly activated to ensure survival. It may respond to the threat in a variety of ways.

An event like seeing a bear on a hike, witnessing a crime, or experiencing a sexual assault may elicit a desire to either fight with intensity, get away from the situation as quickly as possible, become frozen or paralyzed, fawn (go along with what is happening), or faint.

If the traumatic or threatening event is survived through a fight/flight/freeze/fawn/faint response, the brain has performed its job well.

How our brain responds to trauma is not a cognitive choice.

Temporarily Turning Off the Lights

Decision making happens in the prefrontal cortex, near the forehead – sometimes referred to as the “thinking area” of the brain. When a threat is perceived and the body goes into survival mode, the cortex essentially goes offline, halting its ability to communicate with other parts of the brain. This conserves energy and allows the body to focus on survival, until the perceived threat is gone. For example, during a traumatic event the brain would not have the ability to think through and solve a word problem, or the body would not put effort into digesting food. Until the threat subsides, the brain and body direct their many resources strictly towards survival.

The Brain’s Megaphone

What alerts the body to go into fight or flight mode? A small, almond shaped structure deep within the midbrain called the amygdala is responsible for sounding the alarm. The amygdala sends messages to other parts of the brain that activate various elements of the fight or flight response when a potential threat is present. Functions like increased heart rate and the release of stress hormones allow the body to get itself to safety.

It is in this part of the brain where memories are attached to emotion. Traumatic memories get stuck in the emotional memory of the amygdala rather than reaching the hippocampus, the area of the brain that records the details – like the what, when and where of an event.

So for survivors the “memory” of a trauma often emerges as a strong emotional or sensory experience. Unfortunately, trauma shuts down our ability to integrate events episodically which creates a barrier to recalling things like dates and locations.

This is why trauma survivors often keenly remember a smell, like the smoke of a house burning or the cologne of a rapist, but not what time it was when the trauma occurred.

The Trauma of Disclosing Trauma

Without understanding what happens within the brain during a trauma, there exists a risk of doing more harm to people who have experienced horrific events. When survivors are expected to recall the traumatic event in an episodic manner (the when, where, why), they become set up for judgement, disappointment, frustration, and even disbelief despite the reality that the memory is not consolidated and stored in a way that can be recollected.

However, opportunities for people to disclose their memory of what occurred can be provided by eliciting the information they can recall – how they felt, what their senses noticed – while assessing whether they can also access any of the biographical data.

As this information becomes more accessible and understood by the general population, an opportunity presents to move away from some of the stigmas and widespread misconceptions that plague survivors.

Helpful and Informative Sources

A video illustrating how trauma affects the brain can be seen here. 

The Body Keeps the Score by Bessel van der Kolk 

Dr. Seigel’s hand model of the brain: https://www.youtube.com/watch?v=f-m2YcdMdFw 

https://www.verywellmind.com/the-effect-of-ptsd-on-the-brain-2797643 

https://www.psychologytoday.com/us/blog/the-mindful-self-express/202106/understanding-the-trauma-brain 

At the age of 13, I disclosed years of sexual abuse by my stepfather. Unfortunately, the rural area I lived in did not yet follow the robust Child Advocacy Center model that is the protocol today. This meant that I had multiple interviews by various investigative parties. I can recall extreme frustration when I was asked “when did the abuse start, how old were you, how many times did it happen?”

I felt intense fear that people would not believe me because I could not give the answers to those seemingly simple questions. The reality is that my brain did not file the memory of the first incident, or subsequent incidents of abuse as a biographical memory where the date and incident number were important.

Instead, what I could tell investigators included: the show, Who Wants to Be a Millionaire, was playing in the background, what my favorite pair of pajamas I wore most frequently looked like, what the abuse felt like to my body, and the fear that swept over me.

This is an example of how trauma memories are often stored.

Let’s explore how this happens.

The Brain: One Fascinating Organ

Weighing on average 3 pounds, the brain is the most complex organ within the body. It processes every piece of information received through the five senses and communicates with the rest of the body to keep us safe and alive.

How do experiences impact our brains?
Decades of research have shown that trauma has a significant negative impact on various structures within the brain. Before discussing those impacts, here is a look at the healthy brain functions that are harmed by trauma.

  • Brain Stem: Responsible for our survival instincts and functions such as heart rate, respiration, blood pressure, consciousness, and sleep.
  • Midbrain: Stores memory, processes emotions, and serves as a connection between our cortex and our brain stem.
  • Cortex: The most highly evolved structure of the brain, responsible for cognitive processing, decision making, and controlling thoughts and emotions.

Fight or Flight Leads the Way

When a person experiences an actual or perceived threat to their safety or wellbeing, the lower part of the brain, the brain stem, becomes highly activated to ensure survival. It may respond to the threat in a variety of ways.

An event like seeing a bear on a hike, witnessing a crime, or experiencing a sexual assault may elicit a desire to either fight with intensity, get away from the situation as quickly as possible, become frozen or paralyzed, fawn (go along with what is happening), or faint.

If the traumatic or threatening event is survived through a fight/flight/freeze/fawn/faint response, the brain has performed its job well.

How our brain responds to trauma is not a cognitive choice.

Temporarily Turning Off the Lights

Decision making happens in the prefrontal cortex, near the forehead – sometimes referred to as the “thinking area” of the brain. When a threat is perceived and the body goes into survival mode, the cortex essentially goes offline, halting its ability to communicate with other parts of the brain. This conserves energy and allows the body to focus on survival, until the perceived threat is gone. For example, during a traumatic event the brain would not have the ability to think through and solve a word problem, or the body would not put effort into digesting food. Until the threat subsides, the brain and body direct their many resources strictly towards survival.

The Brain’s Megaphone

What alerts the body to go into fight or flight mode? A small, almond shaped structure deep within the midbrain called the amygdala is responsible for sounding the alarm. The amygdala sends messages to other parts of the brain that activate various elements of the fight or flight response when a potential threat is present. Functions like increased heart rate and the release of stress hormones allow the body to get itself to safety.

It is in this part of the brain where memories are attached to emotion. Traumatic memories get stuck in the emotional memory of the amygdala rather than reaching the hippocampus, the area of the brain that records the details – like the what, when and where of an event.

So for survivors the “memory” of a trauma often emerges as a strong emotional or sensory experience. Unfortunately, trauma shuts down our ability to integrate events episodically which creates a barrier to recalling things like dates and locations.

This is why trauma survivors often keenly remember a smell, like the smoke of a house burning or the cologne of a rapist, but not what time it was when the trauma occurred.

The Trauma of Disclosing Trauma

Without understanding what happens within the brain during a trauma, there exists a risk of doing more harm to people who have experienced horrific events. When survivors are expected to recall the traumatic event in an episodic manner (the when, where, why), they become set up for judgement, disappointment, frustration, and even disbelief despite the reality that the memory is not consolidated and stored in a way that can be recollected.

However, opportunities for people to disclose their memory of what occurred can be provided by eliciting the information they can recall – how they felt, what their senses noticed – while assessing whether they can also access any of the biographical data.

As this information becomes more accessible and understood by the general population, an opportunity presents to move away from some of the stigmas and widespread misconceptions that plague survivors.

Helpful and Informative Sources

A video illustrating how trauma affects the brain can be seen here. 

The Body Keeps the Score by Bessel van der Kolk 

Dr. Seigel’s hand model of the brain: https://www.youtube.com/watch?v=f-m2YcdMdFw 

https://www.verywellmind.com/the-effect-of-ptsd-on-the-brain-2797643 

https://www.psychologytoday.com/us/blog/the-mindful-self-express/202106/understanding-the-trauma-brain 

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Why are Sexual Assaults Under-Reported?

by miguelm in HEALTH, JUSTICE, Legal & Justice System, SAFETY, Uncategorized

Why are Sexual Assaults Under-Reported?

 

Most people will call the police if someone breaks into their home or steals something from their vehicle. Yet this is not the first reaction of most people who experience sexual violations.
According to rainn.org, 770 out of 1,000 sexual assaults go unreported to the police. That means that only 23% of all sexual abuse/assaults may have a response from the justice system.   

So why is it that most people do NOT call the police after experiencing sexual assault? 

There are many reasons — both personal concerns and system failures.

95% of the suspected sexual abusers are part of the victim’s family or social circle:  friend, friend of friend/family, date, boyfriend, roommate, coworker, fellow student, acquaintance, or person of power (e.g., landlord, teacher, boss).  

With this prevalence, the most common reasons given for not reporting #WhyIDidn’tReport:

  • “I just want him to leave me alone and put this behind me”
  • “He and his friends/family will make my life a nightmare”
  • “He will deny it and no one will believe me”
  • “My parents will kill him if they find out”
  • “The cops will call it “drunk sex” and tell me not to ruin his life”
  • “I was drinking, but I didn’t want to have sex”
  • “He will fire me and my friend if I tell anyone”

Social stigma and shame:  Common reactions immediately after include shame for trusting (I should have known better), self-blame (we were drinking), denial (it’s not that bad, he didn’t mean to hurt me). They feel responsible for “causing trouble” if they report their experience.   

Family or Community pressure:  In many instances (particularly with children and teens), both people are connected by family or friendship. Reporting the abuse/assault will disrupt the family system and people will “choose sides.” 

Fear or distrust of law enforcement:  The response by law enforcement varies widely by jurisdiction and the officer’s training. Fear of deportation exists when the victim or a member of the household is “undocumented.”  Language barriers also deter reporting.  

If you or someone you know experienced sexual assault or abuse, call Mosaic Georgia at 866-900-6019. We will listen to you and help you sort out your options. All services are free and confidential.  You may choose to have a medical forensic exam at Mosaic Georgia without reporting to law enforcement. 

We want you to feel comfortable and ready if you choose to report. If you later decide to report the assault, the evidence collected can be available for testing. Whether or not you end up deciding to report, we are by your side every step of the way.

 

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This Month: Try the Walking on Sunshine Challenge

by brian in Events & Campaigns, HEALTH

Someone’s Gotta Say It

 

This Month: Try the Walking on Sunshine Challenge

By Marina Sampanes Peed
Executive Director of Mosaic Georgia

This is for all the helpers out there.

Those who step up to support others, but struggle to act for their own well-being. If the concept of making time for yourself feels like an indulgence, or a sign of selfishness, please keep reading. The whispers to keep juggling it all, to stay constantly busy, to never be still (and chill), to measure your worth by your productivity – they are old tropes. Maybe your super-hero cape is tied too tight. Your compassion for others is legendary, but do you extend the same grace and kindness to yourself?

Research psychologist Kristin Neff, PhD, a pioneer in self-compassion, has shown the practice not only benefits your physical and mental health, it also increases your capacity to care and share. It’s a win-win. I encourage you to learn more at Self Compassion website.

Someone’s gotta say it, so let it be me: You are not your best when you are running on empty. You’re not fooling anyone – maybe just scaring them a bit.

The truth is, excelling in your endeavors – whether in work, volunteering, school, raising children or caring for senior relatives – requires you take periodic breaks and be as kind to yourself as you are to others. You’ve heard this before: You can’t drive on an empty tank/battery. You can’t bike far on deflated tires. You get the picture.

This is also true: You will not lose your compassion and commitment to helping by experiencing lightness and joy. Indeed, you NEED the lightness to be reminded WHY the work is worth doing.

You, dear reader, are cordially invited…

to join me in the Walking on Sunshine Challenge – a personal action plan to rediscover the lighter side of life to recharge your awesome self. This is supposed to be fun – no pressure to fit one more thing into your overflowing schedule. Instead, let’s focus on simple wonders, humor, and joy that lift us up rather than weigh us down.

Here are some simple ideas to get you started:

Embrace Nature:

  • Take a leisurely stroll through a nearby park or nature reserve without listening to an audiobook, podcast, or music. Gwinnett County has many parks with varied walking trails. See if you can visit all of them this summer!
  • Listen to the birds chirping (how many do you hear?), feel the sun warming your skin, and marvel at the beauty of the natural world.
  • Find the moon every night for 30 days.
  • My favorite: walk barefoot on the grass, lie down and gaze at the clouds.
  • Rainy day? Get out there, jump in a puddle, and laugh.

Humor Journal

  • Start with one week: make a note (yes write it down) of every amusing observation or experience. It could be something you over-hear at a restaurant, store, or restroom. You may even start thinking about things that make you giggle – write it down. After one week looking for it, you will find humor all around you. (I take pics of signs that amuse me). If you enjoy it, keep going. This can be a private hobby, or you can invite others in on your secret humor investigations.

Get Creative:

  • Write fortune cookie messages with friends,
  • Channel your inner Julia Child or Joe Randall or Ming Tsai or Jamie Oliver and prepare a dish in your kitchen as if you are on a cooking show. Set up a video cam or photo of an audience to keep you on task.
  • Go to an art museum, botanical gardens, or art galleries. Drink it in. One birthday I went to Atlanta Botanical Gardens by myself. I wandered as I pleased, stopped and smelled the roses, and used all my senses to be alone with beautiful nature and my thoughts. It was lovely.
  • Go listen to live music or a theatre show or comedy or spoken word show. Seeing other humans express themselves creatively is a gift.
  • Create a new playlist of music that makes you happy or lifts you out of your seat to jam.

Friendships:

  • Connect with friends you’ve been meaning to see. Go old school and make a phone call. Have your calendar ready. Make a date for coffee/tea, a bite to eat, a walk in the park.
  • Get a friend or two to do the Compassion Challenge with you. Each at their own pace. Some of these ideas you may choose to do together.
  • Host a Movie Night: Gather your friends or family (in person or virtual) for a movie marathon featuring your favorite comedies. Laughing together can be incredibly therapeutic, easing tension and fostering connection.

By making time for humor and joy, even in the midst of life’s challenges, you can replenish your mental and emotional reserves, returning to your tasks renewed and refreshed. So go ahead, give yourself permission to unplug and unwind. You deserve it. And everyone around you will appreciate it.

Let me know how you are Walking on Sunshine this month. Email me at marinap@mosaicga.org with Walking on Sunshine in the subject line. There may be a prize for the experiences that really impress! Photos are bonus points.

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Introducing the Crisis Support and Empowerment Fund!

by miguelm in Events & Campaigns, HEALTH, JUSTICE, SAFETY, Uncategorized

Introducing the Crisis Support and Empowerment Fund!

 

Is 2020 over yet? Between the COVID-19 pandemic and community consciousness movements surrounding violence against black and brown people that have shaken our planet, it seems impossible to not feel the aftershocks of collective exhaustion and trauma from the layers and duration of human suffering. This pain is not equitably distributed. There is, however, some good news amidst the chaos. We see from our work that healing can happen with honest, difficult conversations about the problems prevailing in our society and their impacts followed by coordinated actions to create a common good.

Mosaic Georgia’s mission is to take action and guide change for the safety, health & justice of children and adults impacted by sexual violence. Sexual assault victims are often hit the hardest as the resulting financial strains or loss of employment pose yet another barrier to securing safety and defense from their abusers. With our commitment to help people put their lives back together, we launched a Crisis Support & Empowerment Fund. Thanks to our community partners, including United Way of Greater Atlanta, we have several resources to help victims, and provide stability and planning for future success during this unprecedented time.

Victims and their immediate families almost always experience intense disruption following the disclosure of sexual abuse or violence. The psychological trauma is compounded by time and financial stressors. A bit of help can often provide a stable base to establish new roots and start new, empowered lives.

A parent reached out to us last week for help in breaking their lease. The man who raped her daughter last year had been coming to their home at odd hours, creating more uncertainty and distress. Both parents have lost wages due to COVID-19. Our legal advocates assisted in negotiating out of the lease while our housing navigator helped secure sufficient funds for a new landlord to cover the security deposit and first month’s rent for their new home, as well as transfer utility billings. “We felt trapped and helpless because we couldn’t afford to move. Our daughter couldn’t sleep and didn’t feel safe. We’re moving this weekend! You are a blessing to our family.”

The Crisis Support & Empowerment Fund helps victims transition into survivors through these services:

  • Housing Navigation & Assistance: help develop an action plan for housing and financial stability in the COVID-19 era.
  • Counseling Support: Connections to trauma-focused therapy/counseling to assist with healing. Financial support may be available.
  • Legal Services: Free assistance with civil legal issues arising from sexual assault/abuse victimization including protective orders, child custody, child support, divorce, employment, education, and housing issues.

This fund allows us to assist with essential, immediate and short-term needs such as transportation, medications, groceries, clothing, emergency shelter, housing preservation and homelessness prevention.

2020 has been nothing short of challenging. The COVID-19 era has made change and adaptability a new norm and has also pushed organizations everywhere to innovate new ways of serving their communities. Mosaic Georgia is excited to be part of this new opportunity to not only break down barriers preventing victims of sexual violence from moving forward, but also be an active part in working to change the conditions that allow personal violence to persist.

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