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Diane Langberg, PhD Slides Available: Philip G. Monroe, PsyD www.globaltraumarecovery.org. CSA Treatment and PTG in Adult Clients: Phase Two Mis -steps and Correctives. Objectives.
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Philip G. Monroe, PsyD
Or the counselor?
“How can I get my client to…?”
“How can I get rid of my client?”
Recurrent, intrusive distressing recollection (may be repetitive play)
Recurrent, distressing dreams
Acting or feeling as if event is recurring
Psychological distress on exposure to cues
Physiological reactivity on exposure to cues
Increased arousal (2)
Difficulty falling or staying asleep
Irritability or outbursts of anger
Exaggerated startle response
Avoidance or Numbing (3)
Efforts to avoid thoughts, feelings, conversations associated with trauma
Efforts to avoid activities, places, or people associated with trauma
Inability to recall important aspect of trauma
Diminished interest or participation in significant activities
Feeling of detachment or estrangement from others
Restricted range of affect
Sense of foreshortened futurePosttraumatic Stress Disorder (PTSD)
Memory work done in concert with phase one skills
“Therapy that emphasized relaxation, relationships, affect, and meaning-making appeared to be more helpful than therapy that emphasized exposure to trauma reminders.”
D’Andrea & Pole
Pointing to Corrective Experiences in Therapy
Intense fear, paralysis/helplessness, inability to effect any change, threat of annihilation, leading toexperience of,
Loss of voice, control, connection, and meaning, resulting in,
Disorganized physical, cognitive, and emotional response systemthereby increasing,
Relational pain, distrust, self-contempt, overwhelming anxiety, evidenced as,
Running from the past, afraid of the future
Kinniburgh, Blaustein, Spinazzola, Psychiatric Annals, May 2005
Meditation and Solitude as Emotion Regulation Interventions
Mindfulness is about waking up from a life on automatic pilot, becoming keenly aware and sensitive to our experiences – both internal and external
Exploring Movement in Therapy with Adult Survivors
Problem with this definition? What does resilience look like in an ongoing storm?
Individual resilience promoted by community
Community expression of resilience