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Couseling > Trauma Counselling > Flashcards

Trauma Counselling Flashcards

1
Q

Name the 3 stages of Trauma recovery

A

1- Safety & Stabilisation

2- Trauma processing

3- Re-connection

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2
Q

What happens in stage 1 of trauma recovery?

A

Build trusting rapport

Working on internal & external safety

Educating client on trauma recovery stages.
Clients begin to make connections & learn skills for managing symptoms

A goal for counsellors in this stage:
Teaching clients containment strategies to help manage triggers

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3
Q

What happens in stage 2 of trauma recovery?

A

Processing emotions

Time for grief & mourning

Deconstructing negative beliefs

Addressing & intervening in post-traumatic symptoms

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4
Q

What happens in stage 3 of trauma recovery

A

A time to reconnect with other and “regular life”. Client tries new skills learnt, behaviours and builds upon new experiences.

It’s important here for the client to have made some meaning out of their traumatic experience

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5
Q

What is post traumatic growth?

A

Having a positive affect on a person after trauma. Ex finding new meaning, more appreciation for life, a new and unexpected direction.

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6
Q

Define dissociation (Hypo-arousal )

A

A disruption of and/or discontinuity in the normal integration of consciousness, memory, identity, emotions, perception, body representation, motor control and behaviour.

An experience of disconnection from oneself and one’s surroundings.

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7
Q

Flooding (hyper-arousal)

A

A state of high physical and emotional arousal characterised by overwhelm and the perceived inability to regulate or control one reactions.
May be experienced as hyper-vigilance

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8
Q

What stage does most trauma counselling occurs?

A

Stage 1- Learning how to manage dissociation & flooding responses

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9
Q

Stage 1 interventions

A

-Establishing goals for counselling
-Managing crisis & planning for safety
-Assessment
-if needed harm reduction plan
-support client in managing intrusive thoughts, self-injury behaviour
-developing self-caring & self-soothing routines
-Developing a strong alliance. Including clarifying the rights and responsibilities between both client and counsellor, boundaries
- Psychosocial education
-Developing additional life support

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10
Q

Name 5 categories for the impacts of trauma

A

-Emotional
-Physical
-Mental
-Interpersonal/social
-Spiritual
-Altered belief systems & view on the world

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11
Q

Name 3 ways the can the brain be effected by trauma?

A

Learning & cognition
Memory
Responses
Can effect brain structures, systems, and neurobiology

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12
Q

Tell me about memory

A

Explicit: deliberately recalled, forms part of our long-term identity, facts, something you did or learned

Implicit: knowledge of experiences or events without deliberate recall. Like how to ride a bike or drive

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13
Q

Best practice with clients who struggle with memory

A

-Focus on what they already know.
-Avoid any suspicions, assumptions or planting any thoughts in clients mind
-don’t ask suggestive questions that imply a certain answer
-Become comfortable with not knowing what they mean
-Gently dissuade a client who brings an agenda of memory retrieval to sessions, this is NEVER a goal.
-Honor their search for truth

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14
Q

Reason for lost memories

A

Childhood trauma
Any traumatic event

Rational experiences such as neglect, insecure or disrupted attachments Orr being raised by dissociated parents.

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15
Q

PTSD is ?

A

Intense or prolonged psychological at exposure to internal or external cues that symbolise or resemble an aspect of the traumatic event.

To be diagnosed with PTSD you must have

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16
Q

Diagnostic criteria & symptomology of PTSD

A

-Re-experiencing (intrusion symptoms)
Flashbacks, memories, sensory recalls
-avoidance
-Negative cognition & mood
Experiencing fear, shame
Negative beliefs “I’m bad, the worlds bad” , markedly diminished interest
-Arousal - irritable or aggressive behaviour, problems concentrating, sleep disturbances, reckless behaviour

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17
Q

Dissociation is?

A

A splitting from oneself, either from one’s environment or one’s self.

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18
Q

Name 6 types of emotional abuse

A
  • Humiliation
  • neglect
  • rejection
  • scapegoating
  • insults
  • threats
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19
Q

What is important to keep in mind when a child discloses abuse ?

A

-Not to react
-Not to pry, just listen & be warm and supportive offer reassurance
-make sure as few interviewers as possible talk to the child
-Be mindful if f compassion fatigue & vicarious trauma & burnout
-Take proper notes
-Offer

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20
Q

Duty to report

A

As a counsellor we have a duty to report suspected or confirmed abuse & neglect

21
Q

Percentage of minor attracted in population?

A

1-5% are attracted to minors

22
Q

Woman tend to seek counsel for domestic abuse when?

A

-the children become at risk
-they’ve reached a breaking point
-obtained increased knowledge about their rights

23
Q

Obstacles to seeking help from intimate partner abuse?

A
  • Culture
  • Protecting family rep
  • In love with perp
  • low self-esteem
  • Fear of potential losses
  • Fear for life
24
Q

What do you do for people experiencing violence ?

A
  • Risk and safety assessment
  • Assess risk continually and review safety planning on an ongoing basis
    -Remain supportive if the client wants to remain or leave their partner
25
Q

Domestic abuse & safety
What questions to ask around safety?

A

-Safety means different things to different people, discuss with client what it means for them.
-ask client about safety rating? 0-10
-ask last time they felt safe?
-how do they know they’re safe?

26
Q

Questions you may ask in assessment

A
  • what happens when you and your partner argue ?
    -how would they respond if they knew you were here?
  • have they ever threatened to kill you?
    -do they misuse drugs or alcohol?
27
Q

What is depersonalisation?

A

Experience of being an outside observer.
“This is not happening to me” or in a dream like state

28
Q

How do sex offenders lure their victims? Name 3

A
  • by force
  • manipulation
  • coercion
29
Q

Name 4 kinds of safety plans for victims of abuse

A
  • in the neighbourhood:
    have a neighbour hold some personal belongings, a key to house, and made aware of perhaps a safe word for emergency call.
  • a child safety plan:
    Play they can go, pre packed supplies, money, mapped out route
  • emergency escape plan:
    Routes? Bag packed, trusted person to stay with? Best time to go
  • At work: safe walk to vehicle, safe drive, exit strategy?
30
Q

Characteristics of stage 1 recovery & healing

A

Client is experiencing symptoms, depression, shock, ptsd, flashbacks nightmares

Is hypo or hyper aroused

31
Q

Characteristics of stage 2 of recovery & healing

A

A sense of control forming over one’s inner and outer self.
Trauma is addressed processed and no longer holds power over the individual

32
Q

Characteristics of stage 3 in Trauma recovery and healing

A

Client focuses on personal goals outside of trauma work. PTSD symptoms may linger, the individual is now able to use coping skills to manage them.

A sense of forward momentum & greater inner peace.

33
Q

What is the goal of stage 2 trauma recovery?

A

To gradually face & make sense of the trauma that is safe manageable and not overwhelming

You don’t want to strive for high intensity remembering, rather to re-integrate split-off aspects of self slowl so client can become more comfortable and free of symptoms.

Allowing for meaningful participation in life.

34
Q

What must I integrate in my interventions?

A

Addressing all aspects of traumatic experiences:
Thoughts , feelings, sensations, behaviours

35
Q

Countertransferance

A

Biased therapist behaviour based on unresolved childhood needs, issues or learning that’s results in inappropriate adult responses

36
Q

What is projecting?

A

Making your experiences their experiences

It’s a form of countertransference

When a person misperceives/ misreads or misattributes his or her own difficulties to the client.

37
Q

What is systemic trauma?

A

The repeated, ongoing violation, exploitation, dismissal of a group causing trauma

38
Q

intergenerational trauma?

A

Passed down trauma from parents, changes in gene expression,

39
Q

Define oppression

A

The act of one group using power or privilege for its own benefit while disempowering, silencing marginalising or subordinating another group

40
Q

Define vicarious trauma

A

Is the emotional residue that counsellors have from working with people as they are hearing their trauma.

41
Q

Symptoms of vicarious trauma

A
  • physical: anger, irritability somatic
  • emotional: withdrawal, hyper-sensitivity, social isolation, depression
  • cognitive: whirling thoughts, confusion, memory loss
  • spiritual: questions meaning of life
42
Q

Compassion fatigue

A

Term describing physical mental emotional impact of helping others.

43
Q

Burnout

A

Can be understood as cumulative sense of stress and fatigue

44
Q

What is trauma?

A

A stressful event that overwhelms peoples cooping mechanisms

45
Q

How do we deal with flooding ?

A

Containment practices are helpful
And
Sit and observe feelings and they will pass

46
Q

Triggers are not bad, it’s is our clue as to what needs healing

A
47
Q

Containment

A

Is the ability to regulate emotions

48
Q

What is a PTSD symptom cluster

A

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