Michael Prokop – Trauma, PTSD & Complicated Grief: Effective Assessments and Immediate Interventions for Children, Adolescents and Adults

Outline

TraumaTrauma

• Concepts & DefinitionsConcepts & Definitions
• A historical perspective of traumaA historical perspective of trauma
• Stress vs. trauma: Two states, two responsesStress vs. trauma: Two states, two responses
• The creation of trauma, reactive adaptations, traumagenesisThe creation of trauma, reactive adaptations, traumagenesis
• Small “t” and Big “T” trauma Small “t” and Big “T” trauma
  • High-risk characteristicsHigh-risk characteristics
  • Pre-natalPre-natal
  • Early life traumaEarly life trauma
  • ”On Going” vs. “Single Event” trauma”On Going” vs. “Single Event” trauma

The Traumatized BrainThe Traumatized Brain

• Neurobiology and Tribunal Brain ModelNeurobiology and Tribunal Brain Model
• Activation and hyper-arousal of threat response systemActivation and hyper-arousal of threat response system
• The sensitized brain through conditioned traumatic cuesThe sensitized brain through conditioned traumatic cues
• Dissociation and the importance of freeze dischargeDissociation and the importance of freeze discharge
• Neuroception, bodily reactions and biological changesNeuroception, bodily reactions and biological changes

Trauma and Stress-Related Disorders (DSM-5®)Trauma and Stress-Related Disorders (DSM-5®)

• Post-Traumatic Stress Disorder (PTSD) Post-Traumatic Stress Disorder (PTSD)
  • 0-6 child definitions of PTSD0-6 child definitions of PTSD
  • Reactive Attachment DisordersReactive Attachment Disorders
  • Acute Stress disordersAcute Stress disorders
  • Adjustment disordersAdjustment disorders
  • Disinhibited Social Engagement DisorderDisinhibited Social Engagement Disorder

Trauma and Working with Children and Adolescents: The Developing Brain, Body, and MindTrauma and Working with Children and Adolescents: The Developing Brain, Body, and Mind

• Best practices and innovative tools for assessmentBest practices and innovative tools for assessment
• Subjective imprints of traumaSubjective imprints of trauma
• Innovative tools for trauma resiliencyInnovative tools for trauma resiliency
• Trauma-Focused CBT for ChildrenTrauma-phd/">Focused CBT for Children
• Eight brain-based interventions to use immediatelyEight brain-based interventions to use immediately
• Rapport, hope and empathy during the first session and thereafterRapport, hope and empathy during the first session and thereafter

Trauma, Loss, and Complicated GriefTrauma, Loss, and Complicated Grief

• Grief, bereavement and mourningGrief, bereavement and mourning
• How trauma “freezes” the normal grieving processHow trauma “freezes” the normal grieving process
• Signs of complicated/traumatic griefSigns of complicated/traumatic grief
• Factors contributing to complexities in griefFactors contributing to complexities in grief
• Grief, bereavement in DSM-5® and viable treatment implicationsGrief, bereavement in DSM-5® and viable treatment implications

Healing Trauma: Three Active IngredientsHealing Trauma: Three Active Ingredients

• Therapeutic Relationships – hope, safety, and calming presenceTherapeutic Relationships – hope, safety, and calming presence
• Relaxation – reciprocal inhibition, parasympathetic dominanceRelaxation – reciprocal inhibition, parasympathetic dominance
• Narrative – developing “new” narrative to “transform” memoriesNarrative – developing “new” narrative to “transform” memories

Immediate Interventions: The Three-Stage Consensus ModelImmediate Interventions: The Three-Stage Consensus Model

• Safety/StabilizationSafety/Stabilization
  • The Therapeutic AllianceThe Therapeutic Alliance
  • Felt safe vs real safeFelt safe vs real safe
  • Resolution of impeding environmentResolution of impeding environment
  • Amelioration of self-destructive thoughtsAmelioration of self-destructive thoughts
  • Restructuring victim mentality to proactive survivor identityRestructuring victim mentality to proactive survivor identity
  • Stabilization, self-regulation, relaxation, grounding & containmentStabilization, self-regulation, relaxation, grounding & containment
  • Mindfulness, yoga, recovery resources and holistic strategiesMindfulness, yoga, recovery resources and holistic strategies

• Reprocessing/ResolutionReprocessing/Resolution
  • Narrative and Metabolization of Traumatic MemoryNarrative and Metabolization of Traumatic Memory
  • Mindfulness informed interventionsMindfulness informed interventions
  • Guided Imagery and Systematic DesensitizationGuided Imagery and Systematic Desensitization
  • Somatic and focusing interventionsSomatic and focusing interventions
  • Forgiveness and gratitude workForgiveness and gratitude work

• Reintegration/ReconciliationReintegration/Reconciliation
  • Reconnection to self, family, society and hopes/dreamsReconnection to self, family, society and hopes/dreams
  • Resiliency skills trainingResiliency skills training