
As a survivor of the Camp Fire (Paradise California 2018) – my heart goes out to the Maui Fire 2023 survivors. From my experience, Post-Traumatic Growth is possible – but not easy. My goal is to do all possible to support trauma survivors in their healing journey.
Sierra Health + Wellness Sponsors Trauma Recovery and Wellness Conference
Aloha Summit
July 18 – 20, 2024
Sheraton Resort and Spa Ka’anapali
2605 Kaanapali Pkwy, Lahaina, HI 96761

Sheraton Maui Resort & Spa
Aloha Summits: Trauma, Wellness and Healing
12 APA and NBCC CEU’s for Psychologists, Social Workers, Counselors and MFTS
Betrayal and Trauma: Impacts on Brain and Body
(CE Credit Hours: 4.00)Culture and Ritual in the Therapy Room
(CE Credit Hours: 2.00)The Benefits of Laughter and So Much More
(CE Credit Hours: 1.5)Ethical Considerations in the Treatment of Betrayal
(CE Credit Hours: 4.00)Enneagram for Stress Reduction and Personal Growth
(CE Credit Hours: 1.5)Guided Morning Mindfulness Meditation
Mindful Life, Mindful Work: Incorporating Mindfulness Into Your Practice
Somatic Experiencing with Clients Experiencing Addiction and Trauma
Use Discount Code FDVOAGES through May 31st
Discounted Rooms link sent after Registration
From Aloha Summit on the MAUI FIRES
We are deeply saddened by the devastation and loss of life to those impacted by the Maui fires and we took deep consideration about the location this year. After consulting with locals we felt this was the place for Aloha Summits 2024.
We will be honoring those who lost their lives and those struggling with the aftermath with a ceremonial ritual.
We will have a silent auction benefiting the Maui Fire Victims and we will be selling a Summit T-shirt, with local art, all proceeds going directly to the Maui Fire Victims fund.
We will have a few local artists at the venue, offering their crafts. This will support local artists who have lost income during the fires.
We have been told by locals that our presence on Maui, as Mental Health clinicians, is not only welcomed but embraced. Our time, energy and resources will contribute to the local economy. As Maui will be gifting us greatly – we want to give back as well in these and other ways.
In This Article
1st Responder Trauma – Firefighters
The results from 13 studies published between the years of 1986 and 2022 describe increased levels of PTSD and other psychological symptoms in cohorts of firefighters after responding to wildfire events.
Paradise Lost: Inside California’s Camp Fire
The battle lost against America’s deadliest fire in over 100 years
Firefighters who respond to wildfire incidents, mainly wildland firefighters, may be more vulnerable to the psychological impacts of their work.
Recent research suggests that wildland firefighters report having a greater suicide risk than other types of firefighters. One study found that 55% of ‘clinically significant suicidal symptoms’ were from wildland firefighters, in comparison to 32% of the reports being from other firefighters.
As the prevalence and intensity of wildfires increase globally, firefighters will experience greater and potentially more extreme exposures to serious wildfire events. It is increasingly important to understand how the environmental and psychological exposures faced by firefighters and other first responders affect both their daily life and their long-term health.
1st RESPONDERS EXPERIENCE TRAUMA
First responders are first on the scene of disasters and emergency situations. The general public sees first responders as a kind of Super Hero.
And they are: but even super heroes need support to continue their mission.
Firefighters, police, EMS and other emergency services providers are seldom called on to rescue cute kittens from trees.
In most cases, first responders see accident victims horribly injured or burned, rescue survivors crushed in crumbling buildings, and pull residents from burning buildings. Or they are called on to defuse potentially dangerous situations ranging from domestic disputes to a hostage crisis to battling deadly wildfires.
The physical demands required for first responders can be enormous. Being a first responder in emergencies also impacts the mental well-being of emergency personnel.
High stress and high-risk personal safety situations can cause first responder trauma.

First Responder Trauma and PTSD
It is estimated that 30 percent of first responders develop behavioral health conditions including, but not limited to, depression and posttraumatic stress disorder (PTSD), as compared with 20 percent in the general population (Abbot et al., 2015).
Firefighters, police, EMS and other providers face the risk of many behavioral health concerns; including anxiety, depression, burnout, PTSD and addiction. Taking care of mental health is as important as managing physical health.
Firefighters, police, EMS personnel and other first responders experience high-stress (and high risk) situations daily. The stress involved does not disappear when the responders go home at night.
High-stress professional working conditions can contribute to mental health problems and substance abuse. These working conditions include:
• chronic stress
• physical strain
• working long hours
• lack of sleep.
Studies suggest that sleep disturbances with at least 2 weeks of insomnia or hypersomnia (or both) reported – are risk factors for the later development of PTSD – as well as depression, anxiety disorders, or substance abuse and addiction.
When first responders receive treatment soon after health impacts from a traumatic event are noticed – months of suffering can be avoided.
Need help or have questions?
David Burke LAADC-CA is a dedicated advocate for substance abuse awareness and treatment. With over 20 years experience in the addiction recovery field, he is passionate about helping people, building recovery resources and working in communities throughout California and nationally.
Stages of PTSD
PTSD starts with trauma. Traumatic experiences often involve a threat to life or safety. However, any situation that creates a feeling of being overwhelmed and isolated can result in trauma; trauma does not need to involve physical harm. The more frightened and helpless feelings that are generated – the more likely trauma will occur.
We all react to trauma in different ways – there is a wide range of physical and emotional reactions to trauma. There is no “right” or “wrong” way to think, feel, or respond. Do not judge your own reactions or those of other people.
Your responses are NORMAL reactions to ABNORMAL events.
Getting effective treatment after PTSD symptoms develop can be critical to reducing symptoms and improving the quality of life.
Post-traumatic stress disorder symptoms may start within one month of a traumatic event. But sometimes symptoms may not appear until years after the event. These symptoms can cause significant problems in social or work situations and in relationships. PTSD symptoms can interfere with the ability to go about normal daily tasks.
Symptoms can vary over time. And, PTSD symptoms also vary from person to person.
What are PTSD Symptoms?
Recurrent, unwanted distressing memories of the traumatic event
Reliving the traumatic event as if it were happening again (flashbacks)
Upsetting dreams or nightmares about the traumatic event
Severe emotional distress or physical reactions to something that reminds you of the traumatic event
Trying to avoid thinking or talking about the traumatic event
Avoiding places, activities or people that remind you of the traumatic event
Feeling alienated and alone
Feeling mistrust and betrayal
Feeling guilt, shame, or self-blame
Negative thoughts about yourself, other people or the world
Depression and hopelessness; or sense of a limited future
Memory problems, including not remembering important aspects of the traumatic event
Difficulty maintaining close relationships
Feeling detached from family and friends
A loss of interest in activities and life in general; lack of interest in activities once enjoyed
Difficulty experiencing positive emotions
Feeling emotionally numb
Hypervigilance (on constant “red alert”)
Being easily startled or frightened
Self-destructive behavior, such as drinking too much or driving too fast
Trouble sleeping
Trouble concentrating
Irritability, angry outbursts or aggressive behavior
Overwhelming guilt or shame
Post-traumatic stress disorder (PTSD), sometimes known as shell shock or combat stress in veterans and first responders, occurs after experiencing severe trauma or a life-threatening event.
It’s normal for the mind and body to be in shock after experiencing a trauma. But this normal response becomes PTSD when your nervous system gets “stuck.”
Your nervous system has two automatic or reflexive ways of responding to stressful events:
Mobilization, or fight-or-flight, occurs when you need to defend yourself or survive the danger of a combat situation. Your heart pounds faster, your blood pressure rises, and your muscles tighten, increasing your strength and reaction speed. Once the danger has passed, your nervous system calms your body, lowering your heart rate and blood pressure, and winding back down to its normal balance.
Immobilization occurs when you’ve experienced too much stress in a situation and even though the danger has passed, you find yourself “stuck.” Your nervous system is unable to return to its normal state of balance and you’re unable to move on from the event. This is PTSD.
Recovering from Trauma and PTSD
Recovering from PTSD involves transitioning out of the mental and emotional war zone you’re still living in and helping your nervous system become “unstuck.”
Early and effective trauma treatment is essential to prevent PTSD from developing or getting worse.
But even if PTSD is well-developed or has existed for years – trauma and PTSD treatment is effective in reducing symptoms.
Mindfulness is an effective tool for trauma survivors – and anyone – seeking to live a more stress-free life. Research has uncovered the neurobiological and psychological mechanisms by which mindfulness exerts its effects on addiction recovery.
With trauma and PTSD treatment – life can be enjoyable again.
Need help or have questions?
David Burke LAADC-CA is a dedicated advocate for substance abuse awareness and treatment. With over 20 years experience in the addiction recovery field, he is passionate about helping people, building recovery resources and working in communities throughout California and nationally.

Fight, Flight, or Freeze – Autonomic Nervous System (ANS) Activation
An acute stress response causes the body’s autonomic nervous system (ANS) to activate. This is the part of the nervous system that controls rapid, unconscious responses, such as reflexes…The ANS can send messages that tell the body to prepare for danger in different ways.
Many trauma survivors are so accustomed to their ‘normal state’ of hypervigilance that they cannot recognize when Autonomic Nervous System (ANS) is activated. For many, this has become a normal way of functioning.
However, constant hypervigilance is very hard on the body and will eventually lead to health issues. And, unpleasant physical and emotional side effects are present when the ANS is constantly activated.
One critical function of the Autonomic Nervous System (ANS) is to prepare the body for action through the “fight or flight” response. These changes prepare the body to respond appropriately to a perceived threat. When threats in the environment are sensed, the sympathetic neurons of the ANS react by:
- increasing heart rate
- widening the airways to make breathing easier
- releasing stored energy
- increasing strength in the muscles
- slowing digestion and other bodily processes that are less important for taking action

When is the Parasympathetic Nervous System Activated?
The Parasympathetic Nervous System is activated when the body perceives safety and relaxation. Deep breathing, meditation, and gentle exercise are ways to activate the Parasympathetic Nervous System.
Trauma affects the Nervous System by disrupting its normal functioning and ability to regulate itself. This leads to heightened sensitivity to stressors. The heightened sensitivity often results in anxiety, hypervigilance, and emotional dysregulation.
These symptoms are often not recognized as the after-effects of trauma.
As a result, many individuals seek symptom relief from intrusive trauma symptoms by using alcohol or drugs. Alcohol and drug use only makes the trauma symptoms worse in the long run. And often, self-medication with alcohol or drugs results in addiction.
How to Calm Down the Parasympathetic Nervous System
To calm down the Parasympathetic Nervous System, practices like deep breathing exercises, progressive muscle relaxation, and mindfulness meditation can be effective in restoring balance.
Other ways to activate the Parasympathetic Nervous System include engaging in activities that promote a sense of safety and connection; such as spending time in nature, practicing gratitude, and engaging in positive social interactions.

Trauma, Addiction and Wellness
Research has illuminated a significant connection between posttraumatic stress disorder (PTSD) and substance use disorder (SUD), underscoring the intricate relationship between these conditions.
At Aspen Intervention Wellness Center, wellness and understanding trauma are key elements in guiding clients to sustainable addiction recovery.
The after-effects of trauma can include substance abuse, mental illness, and health problems. Trauma can affect how an individual engages in life and creates various unpleasant symptoms.
Many trauma survivors turn to alcohol or drugs for symptom relief. This increases the chances of developing substance dependence and addiction.
We are very aware that many individuals seeking treatment for addiction have a history of trauma. But often, trauma survivors do not recognize or understand the significant effects of trauma in their lives. Many will experience trauma during their lifetimes. Although some who are exposed to trauma demonstrate few or no lingering effects or symptoms – other individuals experience significant effects.
Individuals who have experienced repeated, chronic, multiple traumas (or multiple childhood traumas, ACES) are more likely to exhibit readily identifiable trauma symptoms and consequences.
Need help or have questions?
David Burke LAADC-CA is a dedicated advocate for substance abuse awareness and treatment. With over 20 years experience in the addiction recovery field, he is passionate about helping people, building recovery resources and working in communities throughout California and nationally.
The Search for Personal Meaning After Trauma
Recovery from trauma and substance abuse can be an important ‘search for meaning‘.
Psychiatrist Viktor Frankl, based on his own experience and the experiences of others he treated later in his practice, argued that we cannot avoid suffering.
However, we can choose how to cope with trauma or tragedy: we can find meaning in it – and move forward with renewed purpose. Frankl’s theory is known as logotherapy, (from the Greek word ‘logos’: meaning).
Frankl believed that our primary drive in life is not pleasure (as Freud maintained) – but the discovery and pursuit of what we personally find meaningful.

Trauma and Addiction Recovery Personal Growth
“You only have power over your mind – not outside events. Realize this, and you will find strength.”
~ Marcus Aurelius, Meditations
In psychology, meaning-making is the process of how people understand and make sense of life events, relationships, and the self.
Although it is definitely not easy – positive growth and positive changes are possible even from the most tragic of circumstances and trauma.
Lasting recovery from substance abuse requires a total re-assessment of habitual behaviors and habitual thinking patterns. Addiction wellness and recovery (and recovery from traumatic events) requires a greater degree of self-knowledge and a leap into the unknown of more positive choices.
For most, this also results in inner spiritual growth.

Need Help with Alcohol or Substance Abuse?
If you or your family are experiencing the effects of addiction – it is time to take the necessary steps to get help.
Aspen Intervention Wellness Center can help you with alcoholism and drug rehab in most areas of the U.S.
For Professional Interventions in NorCal – contact us.
If PTSD or any form of mental illness is also involved (depression, anxiety, obsessive-compulsive disorder and more) – it is critical to make certain the recovery center you choose has Dual Diagnosis integrated treatment.
Dual Diagnosis is also known as ‘co-occurring disorders’ in substance use disorders (SUD) treatment.
Need help or have questions?
David Burke LAADC-CA is a dedicated advocate for substance abuse awareness and treatment. With over 20 years experience in the addiction recovery field, he is passionate about helping people, building recovery resources and working in communities throughout California and nationally.




