Martha Teater – CBT for Trauma Treatment: Powerful and Proven Techniques

Outline

Assessing traumaAssessing trauma

• DSM-5® category of Trauma and Stressor-Related Disorders DSM-5® category of Trauma and Stressor-Related Disorders
  • What’s different in how we diagnose traumaWhat’s different in how we diagnose trauma
  • Disinhibited Social Engagement DisorderDisinhibited Social Engagement Disorder
  • 4th PTSD symptom cluster: negative cognitions and mood4th PTSD symptom cluster: negative cognitions and mood
• Large-T vs. small-t traumaLarge-T vs. small-t trauma
• Evaluating complex traumaEvaluating complex trauma
• Innovative screening and assessment toolsInnovative screening and assessment tools

Risk and resilienceRisk and resilience

• Features that raise and lower the risk of trauma consequences: Pre-traumatic, Peri-traumatic, Post-traumaticFeatures that raise and lower the risk of trauma consequences: Pre-traumatic, Peri-traumatic, Post-traumatic
• Protective factors that reduce risk: Biological, Psychological, Social, EnvironmentalProtective factors that reduce risk: Biological, Psychological, Social, Environmental

Post-traumatic growthPost-traumatic growth

• Positive change as a result of traumaPositive change as a result of trauma
• Thriving, not just survivingThriving, not just surviving
• Changes in 3 areas Changes in 3 areas
  • Enhanced relationshipsEnhanced relationships
  • Changes in view of selfChanges in view of self
  • Shifts in life philosophyShifts in life philosophy
• Vicarious resilience Vicarious resilience
  • The surprising benefits of witnessing the growth of survivorsThe surprising benefits of witnessing the growth of survivors

The Three-Stage Consensus ModelThe Three-Stage Consensus Model

• Stabilization: Safety and strength-buildingStabilization: Safety and strength-building
• Reprocessing: Reappraising traumatic thoughtsReprocessing: Reappraising traumatic thoughts
• Reintegration: Putting it all togetherReintegration: Putting it all together

Evidence-based CBT practicesEvidence-based CBT practices

• Tailoring treatment to the specific needs of your clientTailoring treatment to the specific needs of your client
• Powerful CBT strategies that work Powerful CBT strategies that work
  • Overcoming avoidanceOvercoming avoidance
  • Effective exposure techniquesEffective exposure techniques
  • Modifying cognitive distortionsModifying cognitive distortions
• Advanced uses of CBT with trauma Advanced uses of CBT with trauma
  • Imaginal and in vivo exposure techniquesImaginal and in vivo exposure techniques
  • Effective homework and handouts for rapid improvementEffective homework and handouts for rapid improvement
  • Addressing ambivalenceAddressing ambivalence
• Practical applications using proven CBT tools Practical applications using proven CBT tools
  • Automatic negative thoughtsAutomatic negative thoughts
  • Negative cognitive triadNegative cognitive triad
  • Thought distortionsThought distortions
  • Evidence reviewEvidence review
  • DecatastrophizingDecatastrophizing
• Stress InoculationStress Inoculation

Trauma and childrenTrauma and children

• Trauma-Focused CBT to help children, youth, and familiesTrauma-phd/">Focused CBT to help children, youth, and families
• Innovative child-focused CBT strategiesInnovative child-focused CBT strategies
• Adverse Childhood Experiences (ACE) Study and the impact of childhood trauma on adult functioningAdverse Childhood Experiences (ACE) Study and the impact of childhood trauma on adult functioning
• Video: Using ACE scores to impact the next generationVideo: Using ACE scores to impact the next generation

Substance use disorders and traumaSubstance use disorders and trauma

• Innovative treatment for dually-diagnosedInnovative treatment for dually-diagnosed
• CBT tools for overcoming addictions and co-occurring trauma disorders CBT tools for overcoming addictions and co-occurring trauma disorders
  • Tolerating urges, cravings, and discomfortTolerating urges, cravings, and discomfort
  • Enhancing motivationEnhancing motivation
  • Cost/benefit analysisCost/benefit analysis
  • Behavioral rehearsal with high-risk situationsBehavioral rehearsal with high-risk situations
  • Identifying thought distortions that increase useIdentifying thought distortions that increase use
• Integrated approaches to reduce relapse ratesIntegrated approaches to reduce relapse rates
• Common features in substance use disorders and PTSDCommon features in substance use disorders and PTSD

The ethical benefits of building trauma-informed organizationsThe ethical benefits of building trauma-informed organizations

• Creating a practice niche based on ethical trauma careCreating a practice niche based on ethical trauma care
• Developing a consultation model to intervene with high-risk groupsDeveloping a consultation model to intervene with high-risk groups
• Helping organizations become trauma-informed to protect both staff and clientsHelping organizations become trauma-informed to protect both staff and clients

Ethics in trauma workEthics in trauma work

• Green Cross Academy of Traumatology guidelines for ethical interventionsGreen Cross Academy of Traumatology guidelines for ethical interventions
• International Society for Traumatic Stress Studies best practice parametersInternational Society for Traumatic Stress Studies best practice parameters
• Recovery Bill of Rights for Trauma SurvivorsRecovery Bill of Rights for Trauma Survivors
• The ethical mandate of provider self-care: know your code of ethicsThe ethical mandate of provider self-care: know your code of ethics
• Compassion fatigue: Reduce your riskCompassion fatigue: Reduce your risk