Trauma Informed Therapy Flashcards
Three important features of CPTSD (distinguishing from PTSD criteria)
- problems in affect regulation
- beliefs about oneself as diminished, defeated, worthless
accompanied by feelings of guilt, shame, failure related to the traumatic event - difficulties in sustaining relationships and in feeling close to others
Corrective emotional experience
like shaming for a natural emotion - unconditional positive regard - they feel heard, seen, understood - changes everything for them.
having a normal emotional reaction to this situation is correct
like a child being troubled - when shows anger, shamed for it - confuses them - validating it, corrective emotional experience
validating based on context
DBT - has a component that mentions - in this situation, this emotion will come up
I shouldn’t have gotten angry because she is my best friend - no but it was natural - corrective emotional experience
Three conditions for event to be traumatic
unexpected, shakes a ‘life given,’ helplessness
single most important sign
overwhelms individual/community’s ability to cope
Trauma informed lens
who it happened to?
who it was done by?
what happened?
How often it happened?
When it happened?
gaslighting
manipulation that occurs in abusive relationships
covert type of emotional abuse
When someone is gaslighting you, you may second-guess yourself, your memories, recent events, and perceptions.
Lying to you, spreading rumours/gossip, trivialising your emotions - you’re overreacting, distracting by changing the topic
https://www.verywellmind.com/is-someone-gaslighting-you-4147470
Three types of flashbacks
Which is most common?
imagery, feelings, memory
feelings/emotion flashbacks - most common
Complicated grief
when 6 months have passed and symptoms haven’t decreased - and other features like mistrust in life
complicated grief inventory
Acute stress disorder vs PTSD
only difference - time duration
within 4 weeks - ASD
why create two categories?
it is believed - 4 weeks from traumatic event - body/mind will try to heal itself from what happened
something called as Golden hour - The time that elapses between the traumatic event and the manifestation of the disorder
in therapy, if fresh incident, within 4 weeks, just do supportive work
wait for natural mechanism of body to heal itself
soothing practices - not thought based processing
don’t try trauma therapy - it may intervene
anxiety vs fear
anxiety - to unknown
fear - to known
anxiety - i don’t know what will happen
fear - i will fail
PTSD major symptom categories
intrusive, avoidance, negative alterations in cognitions and mood, psychological reactions and arousal
explain trauma genesis
simple trauma
same thing but a little difference
bad event vs trauma event
even though fight/flight happens same way
in trauma event - nano second of thought (like an essential condition - this separates trauma from regular fear response) - I am not going to make out of here
can come like I am going to die
or like
things are never going to be same again
e.g. sexual assault
the moment the brain registers it
it’s like death
I am going to be a different person now
how do neurobiological changes contribute to trauma?
scar hypothesis - depression - depressive episode - makes persona more vulnerable to future episodes - kinda like scar on brain - much lesser pain required at scar site to evoke pain
behavioral sensitisation - like how habituation happens in addiction - more substance required for same high - e.g. regulation response - need for more and more tools or action in order to calm self
like first time trigger - taking 30 minutes to calm down, next time - 40 minutes and so on
kindling - to explain mood disorder initially
first episode of mood - psychosocial factor
further may come from within only
to perpetuate or maintain the condition, it can build on its own instead of requiring a new stressor
like perceived threat thing - it stays there without the actual stressor
old stressor has kindled - new stressor not required
