By: Meryl Lammers, LSW, MT-BC

Is it perimenopause or trauma? Mood swings. Body changes. Brain Fog. Anxiety. Sleeplessness. Why don’t I feel like myself? I don’t recognize my own body. Why does it feel like I’m going through puberty all over again? Why do my joints hurt all the time? Where did my patience go?

If you are in your late 30’s-early 50s and you are a woman or person who menstruates, you may be experiencing perimenopause.

What is Perimenopause?

Perimenopause is the transitional period before menopause. This is a time when bodies of people who menstruate begin to change and prepare for the cessation of menstruation. This phase, which can last for 3-14 years, is characterized by hormonal fluctuations, particularly in estrogen and progesterone levels, leading to various physical and emotional symptoms. These symptoms may include:

• challenging emotional changes
• sleeping disturbances
• decreased sex drive
• fatigue
• weight gain
• cognitive change
• dry skin
• joint pain
• muscle aches
• headache
• heart palpitations
• changes in taste
• digestive problems

People who have a trauma history may experience more severe perimenopausal symptoms, including hot flashes, sleep disturbances leading to fatigue, difficulty managing emotions, and heightened anxiety and depression.

Perimenopause and Trauma

Studies indicate that people with a history of trauma, particularly during childhood or adolescence, may experience a higher risk of depression and PTSD symptoms during perimenopause. Some red flags to look out for include:

• Increased feelings of depression/loneliness/isolation/anxiety
• Flashbacks of traumatic memories
• Inability to regulate emotions
• Increased suicidal ideation
• Feelings of hopelessness

Perimenopause and Neurodivergence

Is it ADHD or perimenopause? The rising diagnosis rates of neurodivergent conditions, like ADHD and autism, in people undergoing perimenopause is a phenomenon linked to hormonal changes and the impact of masking strategies. The decline of estrogen during perimenopause can worsen symptoms associated with neurodivergence, making previously masked traits more apparent and leading women to seek diagnoses.

Hormonal Changes and Neurodivergence

The hormonal fluctuations during perimenopause can directly impact dopamine regulation, a neurotransmitter crucial for focus and executive function. This can lead to an increase in symptoms like brain fog, forgetfulness, and difficulty concentrating, which are often associated with ADHD. Similarly, for autistic women, hormonal changes can exacerbate sensory sensitivities, social anxiety, and challenges with executive function.

Masking and the “Tipping Point”

Many neurodivergent women may successfully mask or hide their traits for years, particularly in childhood and adolescence. However, the physical and emotional changes of perimenopause, combined with life transitions, can overwhelm existing coping mechanisms. This can lead to a “tipping point” where previously hidden traits become more noticeable, prompting a diagnosis.

Increased Awareness and Intersectional Considerations

Increased awareness about neurodivergence and a shift towards more intersectional diagnoses are also contributing to the rise in late-life diagnoses. Additionally, the physical and emotional symptoms of perimenopause, coupled with the psychological impact of a late diagnosis and potential trauma history can make this transition particularly challenging for neurodivergent people who menstruate.

Where Can I Get Help?

If you…

The Phoenix Center

Experiential Trauma Therapy uses evidenced base techniques that can be beneficial for people in perimenopause of all neurotypes who are experiencing these symptoms. Research suggests that somatic or body-based therapies are effective in helping people in menopause cope with trauma. At the Phoenix Center, we specialize in providing EMDR, IFS, Psychodrama, Somatic work, and Creative Expressive Arts, such as music and art therapies, which all have a somatic component. We are here to support you through all life phases!

If you’re ready to get support during this significant life change, contact The Phoenix Center today to schedule with one of our experiential trauma therapists.

Administrative Coordinator Role – 20 hours per week employee – $20-28+/hour

Hybrid Role requiring in-person hours in Media, PA

Part-time, non-benefits eligible role

Future opportunity to transition to full-time hours with benefits (including medical, dental, vision, & 401k).

About the Position

Our growing trauma therapy practice is seeking an efficient, consistent, empathetic, and detail-oriented Administrative Coordinator to join our team. The ideal candidate will have experience in administrative support, strong organizational skills, and the ability to multitask. This position requires a confident professional who can work independently, communicate effectively, and collaborate with others to ensure the smooth functioning of the practice. This position is diverse in its skill requirements including aspects of accounting/billing, marketing, admin, customer service, event planning, and coordinating with our staff.

This is a part-time, non-benefit eligible position (about 20 hours per week) with flexible hours and could likely evolve into full-time hours with benefits in the future (including medical, vision, dental, and 401k). We are seeking a long-term committed professional that we can invest in, train, and welcome as part of our close-knit organization.

As an organization of trauma therapists, we place considerable emphasis on meaningful work relationships, work-life balance, and self-care. As a smaller, growing organization, we are expanding our inner organizational processes and seeking a professional who can actively contribute to our growth with creative ideas. This role is an important part of our team, managing and coordinating many essential organizational tasks and processes. As our organization continues to expand, the responsibilities, leadership, and compensation with this role are likely to also expand. 

Below are some of the duties of the Administrative Coordinator:

Administrative and Customer Service

• Answering office phone to schedule intakes and direct callers
• Communicate with potential clients or event attendees via phone/email
• Coordinating office supplies, refills, and managing contractors/maintenance
• Event planning for team events (team dinners/events and open houses)
• Engage in research/information gathering related to new policy changes, market trends, events, and inner organizational processes (such as new platforms, apps, or event ticketing), etc.
• Managing special projects
• Helping to organize other internal processes/policies (handbooks, google folders, templates, IT support calls, etc.).
• Help with intake assessments or other responsibilities as needed based on staffing

Marketing

• Schedule weekly newsletters
• Website content updates
• Create ticketing and add events to website
• Help with online marketing presence and outreach
• Schedule daily social media posts (facebook, instagram, linkedin, youtube)
• Video review/editing support

Accounting and Billing

• Keep track of payments in medical records system
• Double check therapist data input, make sure clients have been charged properly
• Review therapists’ accounting forms regularly (before pay period every 2 weeks)
• Send superbills to clients monthly
• Manage relationships with 3rd party payers – send invoices as needed

Continuing Education (CE) Program administration

• connect with CE event organizers/hosts/trainers
• Ensure submitted CE requests conform to license board requirements
• create evaluation links for events
• create and email participant CE certificates after events
• send letters of completion to trainers after events
• Respond to requests for old CE documentation from attendees
• Support (and eventually manage) CE approval renewal applications – about one per year

Other details:

• Occasional evening and weekend hours
• Other duties as assigned
• Possibility to co-create aspects of the role based on your skills and interests
• Strong commitment to diversity, respect, and inclusion
• Some knowledge of mental health, trauma, and/or substance use preferred
• 2-3 years of experience in an administrative support role, preferably in a healthcare or mental health setting
• Knowledge of electronic health records and practice management software – strong digital skills
• Ability to work independently and prioritize tasks in a fast-paced environment
• Proficiency in Microsoft Office, Google suite, WordPress, facebook, linkedin, instagram, youtube, and constant contact
• Preferred training in confidentiality laws, mandating reporting, and suicide assessment

This is a part-time, non-benefits eligible position with competitive compensation and flexibility. If you are a motivated and experienced administrative professional with a passion for supporting mental health services, we encourage you to apply for this exciting opportunity to join a growing psychotherapy practice. 

Please submit your resume and cover letter for consideration to Dr. Scott Giacomucci at Scott@PhoenixTraumaCenter.com.

Maintaining long term sobriety and leading a happy life is often not possible without addressing the underlying issues that fueled the addiction in the first place. A significant overlap exists between trauma and substance abuse. Studies indicate that a substantial percentage of individuals who have experienced Adverse Childhood Experiences (ACEs), or early childhood trauma, also struggle with substance use disorders (SUDs), and vice versa. Individuals with a higher ACE score are 7-10 times more likely to develop substance use disorders than people without ACEs or with lower ACE scores. Certain ACEs, like emotional neglect, sexual abuse, and physical abuse are particularly strong predictors of substance use disorders.

Offering Trauma Therapy for Parental Stress at the Phoenix Center in Media, PA or Online!
484-440-9416 | Support@PhoenixTraumaCenter.com

Going Back into the Past

As people continue to recover, they may rejoin their lives, their jobs, their families, and lead a fulfilling life. They may not see the benefit of going back into the past to work through difficult experiences because they start to feel better. Sometimes people in long term recovery can become complacent with what helped them get sober. Maybe they reduce or stop going to 12 Step meetings or mutual aid programs, stop therapy, or reduce their use of coping skills for staying away from substances.

Additionally, people may also experience common life stressors, difficulties, or even experience significant loss or trauma well into sobriety. These experiences have the potential to resurface past traumatic experiences that may not have been dealt with in early recovery. Left undealt with, the past experiences may increase depression, suicidality, and poor occupational functioning, or decrease your ability to handle stressful situations which can lead to relapse.

Twelve Step Programs

Bill Wilson, the co-founder of Alcoholics Anonymous (AA), experienced a childhood marked by the abandonment of his parents and a subsequent period of depression at 17 after the death of his first love. He wrote extensively about his struggles with depression, insomnia, and fatigue in long-term sobriety. He noted that depression specifically required its own unique recovery process.

Bill began therapy years into his depression in the 1940s (40 years before PTSD was recognized) with a Jungian therapist and shared that therapy helped him work through what he called “psychic damages,” which included inferiority, guilt, shame, and anger. He wrote that doing a “psychic inventory,” like the moral inventory of AA, would help reduce the effects of these “psychic damages.” His therapeutic work later informed his writing in the 1953 book, Twelve Steps and Twelve Traditions, which were essays expanding upon the 12 Steps from the 1939 book, Alcoholics Anonymous.

Individuals with long term sobriety and a history of childhood trauma would benefit greatly from engaging in trauma therapy to help maintain both physical and emotional sobriety. For many people in long-term recovery, trauma therapy is a necessary form of relapse prevention.

Benefits of trauma therapy for people with long term sobriety include:

Offering Trauma Therapy at the Phoenix Center in Media, PA or Online!
484-440-9416 | Support@PhoenixTraumaCenter.com

by Sarah Jayne Oltz, MS, NCC, CTP

The holiday season is often a time of joy, togetherness, and celebration painted with traditions and connection. However, for those navigating trauma recovery, this time of year can bring unique challenges. The emphasis on family gatherings, memories of past holidays, or societal pressure to feel a certain way can trigger difficult emotions, causing the season to feel overwhelming.

If this resonates with you or someone you care about, know that you are not alone. Here, we’ll explore why the holidays can be particularly challenging for individuals in trauma recovery and share practical strategies to support healing during this time.

Offering Trauma Therapy at the Phoenix Center in Media, PA or Online!
484-440-9416 | Support@PhoenixTraumaCenter.com

Why the Holidays Can Be Difficult for Trauma Survivors

1. Family Dynamics: For some, family gatherings can bring up unresolved tensions, remind them of past traumas, or create a sense of obligation to be in environments that feel unsafe.
   
2. Grief and Loss: The holidays often amplify feelings of grief for those mourning loved ones or the loss of a sense of “normalcy” due to trauma.
   
3. Sensory Overwhelm: Crowds, loud noises, bright lights, and bustling schedules can overwhelm the nervous system, especially for those working through trauma-related triggers.
   
4. Cultural Expectations: The societal narrative around the “perfect holiday” can create pressure to feel joyous, which may feel impossible or even alienating during the trauma recovery process.

Strategies for Navigating the Season

1. Set Boundaries with Confidence: Reflect on what feels safe and manageable and identify your limits. For example, decide in advance how much time you want to spend at a family gathering. It’s okay to decline invitations or leave events early if they become overwhelming. Practice saying, “Thank you for understanding, but I need to prioritize my well-being this year.”

• Create Your Own Traditions: If old traditions feel activating, start new ones that bring comfort and joy. Whether it’s watching a favorite movie, lighting a candle for loved ones, or volunteering, tailor the season to what nurtures you.

• Prioritize Self-Care: Build moments of stillness into your schedule. Practices like deep breathing, journaling, or grounding exercises can help regulate your nervous system during high-stress periods. Ensure you’re meeting basic needs, such as sleep, hydration, and nourishment. Engage in activities and practices that feel restorative to you.
  
• Lean on Your Support Systems: Reach out to trusted friends, therapists, or support groups to talk through challenging emotions and engage in safe connections. Prepare coping tools such as grounding objects, soothing playlists, or mindfulness apps to use when you feel triggered.

• Focus on What You Can Control: You can’t change the past or others’ behaviors, but you can decide how to respond. Choose environments and activities that feel safe and affirming to you.

It’s okay for your holiday season to look however you need it to. Your healing is valid, and your boundaries are necessary. The best gift you can give yourself this season is the grace to prioritize your well-being over external expectations. As you move through the holidays, may you find moments of peace and hope in your recovery journey. Remember, healing takes time, and every step forward is worth celebrating.

If the holiday season feels unbearable or worsens symptoms of anxiety, depression, or PTSD, consider reaching out for help. Trauma recovery is a journey, and professional support can provide invaluable tools for navigating difficult seasons like this one. Don’t hesitate to reach out to us at the Phoenix Center to learn how our team of trauma therapists can help support you through the holidays and beyond.

Offering Trauma Therapy at the Phoenix Center in Media, PA or Online!
484-440-9416 | Support@PhoenixTraumaCenter.com

by Sarah Jayne Oltz, MS, NCC, CTP

Trauma therapy is a deeply personal healing process that requires careful consideration of how therapy is delivered. Today, there are two main formats for therapy: in-person and virtual. Both have distinct advantages and potential drawbacks, particularly for trauma therapy. Below is an exploration of the pros and cons of each option to help you decide which format may work best for you or your clients.

In-Person Trauma Therapy

Offering Trauma Therapy at the Phoenix Center in Media, PA or Online!
484-440-9416 | Support@PhoenixTraumaCenter.com

  Virtual Trauma Therapy

 

Which is Right for You?

The choice between in-person and virtual trauma therapy ultimately depends on your personal preferences, circumstances, and therapeutic needs. Both formats can be effective, but it’s essential to consider what environment will make you feel most comfortable, supported, and safe.

If you value the immediate connection and presence of face-to-face interactions and have access to a therapist nearby, in-person therapy may be the best fit. On the other hand, if you need more flexibility and comfort or live in an area with limited mental health resources, virtual therapy might provide the support you need with fewer barriers. Sometimes, a hybrid model—where sessions alternate between in-person and virtual—can offer the best of both worlds. Many times, we have found success in starting sessions in-person to build a strong connection between therapist and client, and switching sessions to online after a strong bond has been established.

We often will recommend meeting in-person if there are particular sessions when we plan to engage in trauma processing of core memories (sometimes these are scheduled for longer than an hour). Being in person with your therapist allows your therapist to better assess where you are in the process (especially through non-verbal cues such as complexion changes, voice tone, body language, posture, etc.), which will better allow your therapist to provide safe and effective trauma processing.

Trauma therapy is rooted in safety and autonomy, and the setting that fosters your personal growth and comfort will always be the right choice. Don’t be afraid to experiment with both formats to find what works best for you. Contact the Phoenix Center today to get started with one of our trauma therapists in-person or virtually.

Offering Trauma Therapy at the Phoenix Center in Media, PA or Online!
484-440-9416 | Support@PhoenixTraumaCenter.com

Offering Trauma Therapy at the Phoenix Center in Media, PA or Online!
484-440-9416 | Support@PhoenixTraumaCenter.com

Do you ever find yourself grappling with feelings of depression and anxiety, unsure of where they stem from? While there can be various factors contributing to these mental health challenges, it’s essential to consider the role that past trauma or adversity may play in your present experience of anxiety or depression.

Traumatic experiences or adverse childhood events can have a profound impact on our mental and emotional well-being, often leading to long-lasting effects that manifest as depression and anxiety in adulthood. These experiences can range from physical, emotional, or sexual abuse to neglect, loss of a loved one, growing up in a chaotic environment, or experiencing discrimination based on your identity.

When we experience trauma or adversity, our brains and bodies undergo significant changes as part of the body’s natural response to stress. These changes can alter the way we perceive and respond to future stressors, leading to heightened levels of anxiety and a persistent sense of sadness or hopelessness characteristic of depression. There is a growing body of research showing a connection between depression and anxiety with past trauma or childhood adversity.

It’s essential to recognize that experiencing depression and anxiety as a result of past trauma or adversity is not a sign of weakness but rather a natural response to overwhelming circumstances. Seeking support from a qualified mental health professional who specializes in trauma therapy can be instrumental in understanding and addressing the underlying factors contributing to your experience of anxiety or depression.

Through trauma therapy, individuals can learn to process and cope with traumatic memories, develop healthier coping strategies, and reclaim a sense of control over their lives. Trauma recovery provides us with the tools needed to cope with anxiety, or resolve the original sources of anxiety, while empowering us to rise from our depression.

If you resonate with the idea that past trauma or adversity may be fueling your depression and anxiety, know that you are not alone, and help is available. By acknowledging and addressing the impact of past experiences on your mental health, you can take significant steps toward healing and rebuilding a fulfilling life.

Remember, healing is a journey, and it’s okay to seek support along the way. You deserve to live a life free from past trauma and adversity, where joy, peace, growth, and resilience can thrive.

Offering Trauma Therapy at the Phoenix Center in Media, PA or Online!
484-440-9416 | Support@PhoenixTraumaCenter.com

Throughout our life, we all encounter challenges that shape who we are. However, sometimes the impact of past adversity, trauma, and loss can linger – affecting our relationships and daily life in ways we might not fully understand. If you’re questioning whether past experiences are casting a shadow on your present-day experience, you are not alone. Below we summarize the most common ways that past adversity can impact us today – the signs of post-traumatic stress disorder (PTSD) and complex post-traumatic stress disorder (CPTSD) and encourage you to consider the transformative power of trauma therapy at the Phoenix Center for Experiential Trauma Therapy in Media, PA.

Offering Trauma Therapy at the Phoenix Center in Media, PA or Online!
484-440-9416 | Support@PhoenixTraumaCenter.com

Recognizing the Impact:

1. PTSD Symptoms: Post-traumatic stress disorder (PTSD) can emerge after experiencing a traumatic event. Common symptoms include flashbacks, nightmares, hypervigilance, negative moods or beliefs, and emotional numbness. These symptoms can disrupt daily life, making it challenging to connect with others and find peace within oneself.
2. CPTSD Symptoms: Complex post-traumatic stress disorder (CPTSD) is often associated with multiple exposures to traumatic situations, such as ongoing abuse or neglect. In addition to PTSD symptoms, individuals with CPTSD may struggle with difficulties in forming and maintaining relationships, a negative self-perception,  ongoing feelings of emptiness, and overwhelming emotions.

Still unsure if past adversity or trauma is continuing to impact you today?

Take This 5-Minute Assessment to Learn if Past Adversity or Trauma Impacts You Today

If you are scoring above a 31 on the assessment above, you are likely experiencing posttraumatic stress and trauma therapy would be highly recommended for you (according to standards set by the National Center for PTSD).

The Transformative Power of Trauma Therapy:

Embarking on a journey of trauma therapy is a commitment to profound personal transformation. Here’s how it can guide you towards a resilient and empowered future:

1. Establishing Safety and Developing Coping Skills: At the heart of trauma therapy lies the establishment of safety and connection. Specialized trauma therapists help create a secure space, allowing you to explore your experiences without fear of judgement or harm. Through collaboration, you’ll develop a toolkit of coping skills, equipping you to face life’s challenges with newfound strength and assurance. Your therapist will help you better understand how past trauma or adversity may be impacting you and offer you support in navigating relationships in your life.
2. Processing Traumatic Memories and Dealing with Related Feelings: The therapeutic journey involves an exploration into your past, providing a safe container to process traumatic memories. Together with your therapist, you’ll navigate the complex terrain of emotions tied to these memories which might include grief, anger, shame, self-blame, and confusion. This transformative process gradually loosens the hold of the past, allowing for the integration of these experiences into your sense of self in a new way.
3. Cultivating Posttraumatic Growth and Integrating Change into Your Life: Trauma therapy is not just about addressing wounds; it’s about cultivating posttraumatic growth – or growth after trauma. Through introspection and guidance, you can identify opportunities for positive change in the aftermath of trauma. Your therapist becomes a partner in integrating these changes into your life, fostering a sense of resilience, wisdom, and empowerment going forward.

In the realm of trauma therapy, each session is a step towards reclaiming your narrative, fostering resilience, and embracing a future where posttraumatic growth becomes a guiding force in your journey toward healing and wholeness.

If you’re unsure whether past adversity is affecting your life today, know that you don’t have to navigate this journey alone. Trauma therapy offers a beacon of hope, providing a pathway to healing and growth. It’s never too late to seek support and take the first steps toward a more fulfilling and connected life. Your past doesn’t have to dictate your future. If you suspect that past adversity is impacting your relationships and life today, consider the transformative potential of trauma therapy. Reach out, seek support, and embrace the possibility of healing. The journey toward a brighter and more resilient tomorrow begins with the courageous step of acknowledging the impact and taking action to reclaim your life.

Offering Trauma Therapy at the Phoenix Center in Media, PA or Online!
484-440-9416 | Support@PhoenixTraumaCenter.com

by Dr. Scott Giacomucci, DSW, LCSW, BCD, CGP, FAAETS, TEP

As human beings, we are inherently social creatures, and our ability to connect with others is vital for our overall well-being. However, mental health problems can often lead to feelings of isolation and disconnection from others, making it even more difficult to seek help or feel supported. Joining a therapy group can be a powerful way to address this isolation and receive the support and connection we need to heal and grow. Therapy groups are an excellent adjunct to individual therapy and can help combat the isolation and shame that we might feel related to past experiences. In this article and video, we’ll explore some of the benefits of joining a therapy group.

Free online support groups offered through the Phoenix Center
and
Therapy groups at the Phoenix Center in Media, Pennsylvania

Are you familiar with the difference between therapy groups and support groups?  The video below will outline the benefits of group therapy while also offering clarity on the differences between support groups and therapy groups.

Research is showing that group therapy is at least as effective as individual therapy but much cheaper!

Mental health issues can be overwhelming and isolating, leaving people feeling like they are alone in their struggles. Joining a therapy group can provide a sense of connection, extra support, and the opportunity to use one’s experiences to help others. Below, we will discuss some of the benefits of joining a therapy group, including increased support, a sense of community, and the unique opportunities for growth that group therapy provides.

Benefits

1. Connection in groups:

Mental health problems can fuel isolation, which can further exacerbate one’s mental health. Group therapy provides a space to connect with others who are struggling with similar issues. This sense of connection can help reduce feelings of isolation and loneliness, as well as provide a sense of community.

2. Extra support:

Group therapy provides an additional layer of support to individual therapy. In group therapy, members can share their struggles and receive feedback and support from their peers. This can be particularly helpful in moments when one is feeling overwhelmed and may need extra support.

3. Peer support can feel safer:

In a therapy group, members are surrounded by peers who understand their struggles, creating a sense of safety and understanding. The group therapy experience can also provide a level of anonymity that individual therapy may not offer. Members can share their experiences without fear of judgment or repercussions. Some people may have experienced trauma or abuse from people in power in the past, thus finding it difficulty to trust a therapist or doctor today.

4. Opportunity to use your experiences to help others:

In group therapy, members can use their experiences to help others. This can be incredibly empowering and therapeutic for both the individual and the group as a whole. Being able to offer support and advice to others can provide a sense of purpose and meaning.

5. More dynamic than individual therapy:

Group therapy is often more dynamic than individual therapy. Members can offer different perspectives and feedback, which can help one see their struggles in a new light. The group dynamic can also help members learn new skills and coping strategies while practicing new social skills in real time.

6. More input and feedback from others:

Group therapy provides a space for members to receive feedback and input from others. This can be particularly helpful when one is struggling with interpersonal relationships or communication issues. Members can practice new communication skills and receive feedback in the moment.

7. Power in numbers:

There is power in numbers, and this is true for group therapy as well. Members can draw strength and support from the group, and the group can also provide a level of accountability. Knowing that one is not alone in their struggles can be incredibly empowering.

8. Cheaper, but equally effective:

Group therapy is often more cost-effective than individual therapy. In addition, group therapy sessions are typically longer than individual therapy sessions, which can provide more time for members to process their experiences and receive support. The research on group therapy is demonstrating that it is at least as effective as individual therapy in the treatment of most mental health problems or social issues.

Therapy Groups

In conclusion, joining a therapy group can provide numerous benefits for those struggling with mental health issues. Group therapy provides a sense of connection, extra support, and the opportunity to use one’s experiences to help others. It can be a more dynamic and cost-effective alternative to individual therapy, providing a unique opportunity for growth and healing.

Check out our free online support groups at the Phoenix Center – https://www.phoenixtraumacenter.com/community-peer-support-groups/

Consider joining one of our therapy groups at the Phoenix Center in Media, Pennsylvania – https://www.phoenixtraumacenter.com/group-services/

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