Robert Rhoton – Certified Clinical Trauma Professional: Two-Day Trauma Competency Conference

Outline

A Brief History and Evolution of Traumatic Stress, Grief & LossA Brief History and Evolution of Traumatic Stress, Grief & Loss

• Systemic traumatic stress theorySystemic traumatic stress theory
• Symptom reviewSymptom review
• Review of effective treatmentsReview of effective treatments
• Tri Phasic modelTri Phasic model
• Most commonly used instruments to assess traumatic stressMost commonly used instruments to assess traumatic stress

Core Competencies of Traumatic Stress, Grief & Loss Core Competencies of Traumatic Stress, Grief & Loss

Bio-Psycho-Social-Spiritual Factors that Produce Anxiety & Traumatic StressBio-Psycho-Social-Spiritual Factors that Produce Anxiety & Traumatic Stress

• Precipitating eventsPrecipitating events
• Meaning makingMeaning making
• Physiology of traumaPhysiology of trauma
• PerceptionPerception

Adaptive and Maladaptive Coping BehaviorsAdaptive and Maladaptive Coping Behaviors

• Trauma adaptationTrauma adaptation
• Systemic influencesSystemic influences
• Emotional & psychological stressorsEmotional & psychological stressors
• Integrated theoretical concepts from stress, crisis & trauma theoriesIntegrated theoretical concepts from stress, crisis & trauma theories
• Information Processing ModelInformation Processing Model
• Psychosocial ModelPsychosocial Model

Review of Effective Treatment InterventionsReview of Effective Treatment Interventions

• Cognitive Behavioral Techniques (PE, CPT & SIT)Cognitive Behavioral Techniques (PE, CPT & SIT)
• EMDR & Bilateral StimulationEMDR & Bilateral Stimulation
• Thought Field Therapy (TFT)/Emotional Freedom Techniques (EFT)Thought Field Therapy (TFT)/Emotional Freedom Techniques (EFT)
• SensorimotorSensorimotor

The Biochemical, Affective, and Cognitive Impacts of Traumatic StressThe Biochemical, Affective, and Cognitive Impacts of Traumatic Stress

• Affective volatilityAffective volatility
• The body keeps the scoreThe body keeps the score
• Biology of traumatic stressBiology of traumatic stress

The Impacts of Traumatic Stress Over Time & Across & Within Developmental StagesThe Impacts of Traumatic Stress Over Time & Across & Within Developmental Stages

• EpigeneticsEpigenetics
• Reactive Attachment DisorderReactive Attachment Disorder
• Adrenal fatigueAdrenal fatigue

The Role of Traumatic Stress in Clinical Disorders such as Personality Disorders, Dissociative Identity Disorder, and MoreThe Role of Traumatic Stress in Clinical Disorders such as Personality Disorders, Dissociative Identity Disorder, and More

• TraumagenesisTraumagenesis
• TraumaddictionTraumaddiction
• ComorbidityComorbidity

Conceptualizing a Framework of Healing for Survivors of Traumatic StressConceptualizing a Framework of Healing for Survivors of Traumatic Stress

• Systemic perspectiveSystemic perspective
• Strengths perspectiveStrengths perspective

Traumatic Stress Exists Across the Continuum of Systemic LevelsTraumatic Stress Exists Across the Continuum of Systemic Levels

• Systemic trauma theorySystemic trauma theory
• Community traumaCommunity trauma
• Vicarious secondary traumatizationVicarious secondary traumatization

Theories of Traumatic Stress, Loss and GriefTheories of Traumatic Stress, Loss and Grief

• Information Processing ModelInformation Processing Model
• Psychosocial ModelPsychosocial Model
• Contemporary thoughtsContemporary thoughts

Bereavement and Adjustment DisordersBereavement and Adjustment Disorders

• Supporting normal bereavementSupporting normal bereavement
• Treating complicated bereavementTreating complicated bereavement

Assessment of Traumatic Stress DisordersAssessment of Traumatic Stress Disorders

• Diagnostic and Statistical Manual of the APADiagnostic and Statistical Manual of the APA
• DSM-5® changesDSM-5® changes
• ACE & Developmental TraumaACE & Developmental Trauma
• Diagnosing PTSD with the PCL-5Diagnosing PTSD with the PCL-5

Evidence-Based Techniques/InterventionsEvidence-Based Techniques/Interventions

• Relaxation/Self-regulationRelaxation/Self-regulation
• GroundingGrounding
• ContainmentContainment
• Writing/journalingWriting/journaling
• Drawing artDrawing art
• Healing metaphorsHealing metaphors
• Transitional objectsTransitional objects

Demonstrations: Interactive Exercises/Application of Skills Demonstrations: Interactive Exercises/Application of Skills

• Cognitive Behavioral TechniquesCognitive Behavioral Techniques
• Narrative Exposure Therapy TechniqueNarrative Exposure Therapy Technique
• Thought Field Therapy (TFT)Thought Field Therapy (TFT)
• Bilateral StimulationBilateral Stimulation

Limitations of the Research and Potential RisksLimitations of the Research and Potential Risks

• Limitations of many accepted models of trauma treatmentLimitations of many accepted models of trauma treatment
• Weaknesses and limitations of evidence-based trauma treatment modelsWeaknesses and limitations of evidence-based trauma treatment models
• Limitations of the diagnostic (DSM-5®) systemLimitations of the diagnostic (DSM-5®) system
• Limitations and potential risks in grief work, due to research scarcity on the topicLimitations and potential risks in grief work, due to research scarcity on the topic

Closure: Lessons LearnedClosure: Lessons Learned