1. ATRIUM
A.T.R.I.U.M. =
Addictions &
Trauma
Recovery
Integrated
Model

2. ATRIUM
Published in treatment manual Addiction and Trauma Recovery: Healing the Body, Mind & Spirit,
D.Miller & L. Guidry, 2001, WW Norton

3. ATRIUM Number of sessions = 12 Duration of each session = 1.5hr.
Structure and content of the ATRIUM model:
Number of sessions = 12
Duration of each session = 1.5hr.
Timing or frequency of sessions = weekly or twice per week

4. ATRIUM Structure of each session = didactic component
process component- participants to share own experience relevant to session topic,
experiential component teaches participants new ideas and skills
a “homework” assignment = handout reviews didactic and experiential content of session; participant creates own mini workbook

5. ATRIUM Mind Body Spirit Relational Cognitive Behavioral
Assessment & Treatment Model

6. addiction and trauma distress
ATRIUM
... For adults and adolescents who struggle with traumatic experiences...
... trapped in the cycle
of addiction and trauma distress
addiction and trauma distress

7. ATRIUM
ATRIUM model has been successfully adapted for use with Latina women - the manual and handouts have been translated into Spanish.
Homeless individuals and families have successfully participated in ATRIUM groups.

8. ATRIUM
ATRIUM has been implemented to meet the needs of disabled women.
ATRIUM groups have also been successful in correctional systems and jail diversion programs
ATRIUM has been successful in working with populations with AIDS
ATRIUM has been implemented with men

9. ATRIUM Training Who is eligible to become an ATRIUM facilitator?
mental health professionals and peer facilitators...
...who understand the impact of addiction and trauma.

10. Women who hurt themselves: A book of hope and understanding
ATRIUM
The ATRIUM treatment protocol = sequel to Trauma Reenactment model in
Dusty Miller
(Basic Books, 1994).
Women who hurt themselves: A book of hope and understanding

11. ATRIUM Which addictions are we talking about?
Chemical abuse & dependency
Eating disorders
Self-injury
and Self- sabotage….like...

12. Self-sabotaging behavior
ATRIUM
Self-sabotaging behavior
compulsive spending
gambling
sexual addiction
cyber addiction
self-destructive relationships

13. Co-occurring diagnoses
ATRIUM
Co-occurring diagnoses
Post-traumatic stress disorder (PTSD)
Anxiety
Depression
Psychotic episodes
Personality disorders
Relational challenges

14. ATRIUM
The legacy of trauma creates
Broken hearts
&
wounded spirits

15. ATRIUM Connection in community… Wholeness in relationship…
ATRIUM heals the broken spirit through
Connection in community…
Wholeness in relationship…
Mission to help others

16. Your Surviving Spirit A spiritual workbook for coping with trauma
Dusty Miller’s sequel to the ATRIUM manual
(New Harbinger, 2003)

17. ATRIUM Mind Body Spirit Traumatic injury
and change happen at 3 levels:
Mind
Body
Spirit

18. ATRIUM
ATRIUM teaches:
Understanding connection between trauma reenactment and addictions
The theory of trauma reenactment: biological and cognitive/emotional impact of traumatic stress
Internalization of early trauma-based relationships

19. ATRIUM Cognitive & Emotional reenactments of trauma
Mental and emotional impact of trauma
Addiction and emotional dysregulation
Depression, Anger, Fear and Anxiety
Dissociation

20. ATRIUM Trauma re-enactment and the body
Re-living trauma through physical pain and illness
Body image - how trauma shapes self-image
Touch and intimacy: challenges

21. ATRIUM Healing the Spirit Breaking isolation: Making connections
Environmental healing - healing the broken spirit
Giving something back - healing through helping others

22. ATRIUM The Triadic Self =
ATRIUM teaches people to recognize and challenge
internalized representations of
trauma-based relationships

23. ATRIUM
The “triadic self” = internalization of past abusive relationships
Victim
Abuser
Non-protecting Bystander

24. The Internalized Abuser
The inner voice representing self-harmful behavior:
Drinking
Drug abuse
Cutting
Binge & purge cycle
Self-sabotaging sex, harmful relationships, etc.

25. The Internalized Victim
The inner voice representing the small vulnerable self who experiences getting hurt…
...The “oh no, not this again!” warning message

26. The Internalized Non-protecting Bystander
The inner voice representing the “I can’t help it” part of the self
Reenactment of not being protected in childhood and…
Current inability to protect one’s own self

27. Protective Presence Similar to personal understanding of
Higher Power or God or Spirit
Also the creation of personal sources of comfort the individual holds in her heart & soul.

28. ATRIUM - principles of trauma recovery
recognizing and reinforcing resilience
achieving abstinence from addiction
healing the wounds of non-protection
creating a sacred connection to the Universe
learning to help others

29. REFERENCES
Miller, D. (1994). Women Who Hurt Themselves: A Book of Hope and Understanding. N.Y.: Basic Books
Miller, D. & Guidry, L. (2001). Addictions and Trauma Recovery: Healing the Body,Mind and Spirit. N.Y.: WW Norton.
Miller, D. (April 2003). Your Surviving Spirit: A Workbook of Spiritual Resources for Coping with Trauma. Oakland, CA.: New Harbinger. .

30. REFERENCES:
Miller, D. (2002). Addictions and trauma recovery: An integrated approach. Psychiatric Quarterly. 73, 2.
Miller, D. (1996). Challenging self –harm through transformation of the trauma story. Sexual addiction and compulsivity. 3,3.
Miller,D., (2003) End of Innocence. Psychotherapy Networker. July/August.

31. Addiction and Trauma Training
ATRIUM
Addiction and Trauma Training
Healing Retreats
ATRIUM Institute -
Northampton, MA
(413)
dustymiller.org