Trauma

Question 1

Immediate mx of trauma

Answer 1

Phase orientated therapy in PTSD - inappropriate to do acute exploratory trauma related work - can exacerbate complex trauma, depressive state, self harm

Question 2

Next phase

Answer 2

Psychoeducation and explanation of symptoms
-discussion of trauma, neurobiology and how trauma worsens cognitive and emotional sx

Question 3

Next mx

Answer 3

Psychoeducation by chain analysis - link between trauma reminders and self harm behaviours using techniques such as delay-distract

Question 4

Evidence based therapy

Answer 4

Trauma focused CBT - two types: prolonged exposure therapy and cognitive processing therapy
Extinction, learning, habituation and desensitisation
PET - progressive exposure to trauma narrative and trigger setting
CPT - writing a trauma narrative and repeatedly reading it to expose oneself to trauma memory, addressing shame, guilt and mistrust

Narrative exposure therapy - short term approach involving life cataloging and detailing of all traumatic events

EMDR - process distressing memories by recalling distressing images while receiving sensory input such as side to side movements

Supportive therapy, yoga, mindfulness training