Land Mines and Booby Traps: Navigating Re-enactments in Treating Patients with Trauma

Video and Event Recap

A Special Presentation given by Dr. Kim Dennis, MD, and Marcia Nickow, Psyd, CADC, CGP

This presentation (recorded November 7th, 2019) explored the trauma reenactments that can happen in all forms of institutions, including treatment settings, how to avoid it, how to identify it when it happens and what to do about it when we see it. The short clip below describes the issue.

When those institutions serve people with histories of abuse, many safeguards need to be in place in order to manage and detect re-enactments of abuse playing out between and among staff and patients.  The responsibility we have as professionals is awesome. The short video below describes why this issue matters to SunCloud Health.


There are examples of systems that have been riddled for decades with unchecked abuse, that finally have been exposed by virtue of victims speaking out in recent years (i.e., the Catholic church, in government, in the entertainment industry, the treatment industry, etc.). Where do we go from here? What do we do from here? ‎The short video below describes the SunCloud Health approach.


The healing we can impart as clinicians come with a responsibility to both see and appropriately respond to re-enactments in therapeutic settings. It is on all of us in the professional community to build treatment settings that are healthy, safe, well-boundaried, at all levels of our organizations.

Below is a link to the full presentation.

SunCloud Health is a private outpatient treatment center with four locations, Northbrook, Naperville and Chicago, IL. We  provide highly individualized and compassionate care for people struggling with complex co occurring substance use disorders, eating disorders, mood disorders and underlying trauma.

Our Presenters

Dr KimDr. Kimberly Dennis: “Dr Kim,” as she is known, has been treating addiction, mood disorders, substance use disorders, eating disorders, PTSD, and personality disorders for over ten years, most recently as CEO and Medical Director of SunCloud Health, an outpatient treatment center with 3 locations throughout the Chicago area. She is a board-certified psychiatrist who specializes in treating addictions, eating disorders and co-occurring disorders.  She believes in and maintains a holistic perspective in the practice of psychiatry, incorporating biological, psycho-social and spiritual approaches into the individually-tailored treatment programs for each patient at SunCloud.

Marcia Nickow: An addictions psychologist, group psychotherapist and trauma specialist, Marcia Nickow, Psy.D., CADC, CGP, empowers patients to tap into their insight, intellect, creativity and spontaneity to achieve therapeutic breakthroughs. With 25 years of clinical experience, she treats alcohol and drug addiction; relationship, sex, pornography and internet addictions; eating disorders; trauma and inter-generational trauma; personality disorders; and anger and anxiety issues. Dr. Nickow has designed, implemented and directed an integrative intensive outpatient group treatment program for addictions and trauma in downtown Chicago.

Event Location

Weinberg/Newton Gallery
688 North Milwaukee Avenue
Chicago, IL 60642
Website and Directions

Weinberg/Newton Gallery is a non-commercial gallery with a mission to collaborate with nonprofit organizations and artists to educate and engage the public on social justice issues. Through artwork and programming, the gallery provides a vital space for open discourse on critical contemporary issues facing our communities. Connecting artists with social justice organizations, we work to drive change and cultivate a culture of consciousness.

-Our Research Team-
Timothy D. Brewerton, MD, DLFAPA, FAED, DFAACAP, CEDS-S
Professor Emeritus of Psychiatry and Behavioral Sciences
Dr. Christopher Womack
Medical Director, Child and Adolescent Psychiatry

Dr. Christopher Womack joins SunCloud as our Medical Director, Child and Adolescent Psychiatry.

Dr. Womack is board certified in Adult as well as Child and Adolescent Psychiatry, attending the University of Chicago Pritzker School of Medicine. Adult psychiatry residency and child fellowship training were completed at the University of Chicago Medical Center.

Dr. Womack’s treatment  philosophy hinges on strength based, evidence informed care, where collaboration is central to guiding individualized treatment.  He has experience caring for children and teens from varied backgrounds, appreciating the importance of how identity can inform treatment.

Favorite pastimes are cooking new recipes and exploring Chicago’s rich cultural diversity through its neighborhood and fine dining experiences.

Elizabeth E. Sita, MD
Medical Director of Adult Services

Dr. Elizabeth E. Sita, MD, is a Board Certified psychiatrist specializing in the care of patients with eating disorders. She completed her undergraduate training at the University of Chicago and graduated with Highest Honors. She then earned her medical degree at Northwestern University Feinberg School of Medicine and was recognized with the Chairman’s Award for Excellence in Psychiatry. She subsequently completed residency with the Department of Psychiatry and Behavioral Sciences at McGaw Medical Center of Northwestern University, where she was elected Chief Resident and received the Resident Psychiatrist Leadership & Service Award.

Upon completing her training, Dr. Sita joined the staff atAscension Alexian Brothers Behavioral Health Hospital Hospital, where she served as Assistant Medical Director of the Center for Eating Disorders and Director of Transcranial Magnetic Stimulation Services before transitioning to lead the new inpatient eating disorder unit as Medical Director of Eating Disorder Services at Ascension Saint Joseph Hospital – Chicago. In these roles, she has cared for a multitude of adolescents and adults struggling with anorexia nervosa, bulimia nervosa, binge eating disorder, and other eating disorders as well as severe, cooccurring mood, trauma, personality, and substance use disorders.

Dr. Sita has been recognized throughout her training and practice for a commitment to excellence in patient care and for her ability to engage patients in their most challenging moments. Her passions include the care of treatment-resistant eating and mood disorders as well as questions of medical capacity and end-of-life decision making.

She believes that, first and foremost, human connection is key to mental health and well-being and strives to share this philosophy in each and every patient encounter. She is excited to bring her expertise to SunCloud Health as the Medical Director of Adult Services!

 

VIDEO: Meet Elizabeth E. Sita, MD, Medical Director of Adult Services

 

Lacey Lemke, PsyD
Assistant Vice President of Clinical Services

Dr. Lacey Lemke (she/her) is a licensed clinical health psychologist with specialized expertise in the treatment of eating disorders and the practice of medical and health psychology. She completed her doctoral training in clinical psychology with a Primary Care emphasis at the Adler School of Professional Psychology. Dr. Lemke went on to complete both her predoctoral clinical internship and postdoctoral fellowship through Ascension Health, where she gained advanced training working with individuals experiencing eating disorders and self-injurious behaviors, as well as within pediatric subspecialty settings including endocrinology, neurology, and adolescent medicine.

Dr. Lemke is deeply committed to providing evidence-based, compassionate care and collaborates closely with interdisciplinary teams to ensure comprehensive treatment. Her professional mission is to support patients in achieving their fullest potential by guiding them to the most appropriate level of care and empowering them to make meaningful, sustainable progress toward improved health and well-being.

VIDEO: 2. Meet Lacey Lemke, PsyD.