This document provides an overview of various distress reduction and affect regulation techniques for treating trauma. It discusses when remembering trauma may not be advisable, such as when the client is unstable or the therapeutic relationship has not been established. Grounding techniques are described to help clients focus on the present moment. Relaxation training and identifying emotions are discussed as general affect regulation strategies. The document also outlines protocols for reducing nightmares, containing writing, and responding to flashbacks.
EMDR & Mindfulness: Interventions for Trauma, Anxiety, Panic, and Mood Jamie Marich
Course Description (From www.pesi.com):
Attend this seminar and gain a deeper understanding of both Mindfulness and EMDR. Learn how and why they can be powerful tools for healing, and with whom and when it is suitable to use each. Experience various practices of Mindfulness, and leave with skills to teach Mindfulness to your clients. Increase your knowledge of how trauma affects the brain, and how Mindfulness and EMDR can improve patient outcomes. Clinicians not trained in EMDR: gain an overview of EMDR, how and why it works. Clinicians already trained in EMDR: update your skills and enhance your ability to use Mindfulness to deepen your sessions.
Dr. Jamie Marich is not only an EMDR expert, author, speaker and practicing clinician, she is the creator of ‘Dancing Mindfulness’, a powerful community-based practice that teaches people mindfulness principles through creative expression. She is known for her natural way of presenting the “complex” in very relatable terms that translates into your having real-life, effective tools to take back to your offices!
In addition to the seminar, you will take home a manual with dozens of specific strategies along with numerous recent citations from scientific literature attesting to the efficacy of EMDR and Mindfulness.
This is an advanced course in Energy Psychology by Willem Lammers MSc. Enjoy. If you want to know what I'm doing now, please look at www.logosynthesis.net
This slide show by Willem Lammers introduces you to Larry Nims' BeSetFreeFast.
If you're interested in Logosynthesis, my latest development, go to www.logosynthesis.net
This is a very simple procedure in which you develop one tapping point after the other.
If you're interested in the latest news in the field of energy psychology, go to www.logosynthesis.net
The document provides guidance on conducting emotionally-focused therapy. It discusses creating an alliance with clients through empathy, validation and normalizing clients' experiences. The therapist jointly defines problems with clients by exploring pivotal past events and reframing experiences from an attachment perspective. The goal is to identify negative interactional cycles and the feelings they produce, including vulnerable emotions like fear and sadness that often underlie defensive reactions like anger. By accessing and acknowledging these feelings, the therapist can interrupt cycles that escalate conflict between clients.
Eye movement desensitization and reprocessing (EMDR) is a form of psychotherapy used to treat post-traumatic stress disorder (PTSD) by processing traumatic memories. It was developed by Francine Shapiro and uses eye movements combined with recalling a traumatic memory to reduce the emotional intensity of that memory. The therapy process involves identifying a disturbing memory or event, developing negative and positive beliefs about it, and using sets of eye movements while focusing on the memory to install the positive beliefs. EMDR addresses past, present and future aspects of traumatic memories over multiple therapy sessions to fully process the memory.
Anxiety is a subjective state characterized by emotional distress and apprehension that stimulates physiological stress responses. It can be experienced situationally as state anxiety or reflect a personality trait as trait anxiety. Anxiety is an important concept for nurses to understand as it is commonly experienced by hospitalized patients, for example those undergoing medical procedures, awaiting test results, or receiving long-term cancer treatment. Unmanaged anxiety in patients can negatively impact health outcomes, while nurse anxiety can also influence patient care. Previous studies have examined different scales for measuring patient anxiety and the impact of reduced nurse-patient interaction times on identifying anxious patients. As advanced practice nurses, recognizing and diagnosing anxiety is important for building trust, improving compliance, and enhancing health.
EMDR & Mindfulness: Interventions for Trauma, Anxiety, Panic, and Mood Jamie Marich
Course Description (From www.pesi.com):
Attend this seminar and gain a deeper understanding of both Mindfulness and EMDR. Learn how and why they can be powerful tools for healing, and with whom and when it is suitable to use each. Experience various practices of Mindfulness, and leave with skills to teach Mindfulness to your clients. Increase your knowledge of how trauma affects the brain, and how Mindfulness and EMDR can improve patient outcomes. Clinicians not trained in EMDR: gain an overview of EMDR, how and why it works. Clinicians already trained in EMDR: update your skills and enhance your ability to use Mindfulness to deepen your sessions.
Dr. Jamie Marich is not only an EMDR expert, author, speaker and practicing clinician, she is the creator of ‘Dancing Mindfulness’, a powerful community-based practice that teaches people mindfulness principles through creative expression. She is known for her natural way of presenting the “complex” in very relatable terms that translates into your having real-life, effective tools to take back to your offices!
In addition to the seminar, you will take home a manual with dozens of specific strategies along with numerous recent citations from scientific literature attesting to the efficacy of EMDR and Mindfulness.
This is an advanced course in Energy Psychology by Willem Lammers MSc. Enjoy. If you want to know what I'm doing now, please look at www.logosynthesis.net
This slide show by Willem Lammers introduces you to Larry Nims' BeSetFreeFast.
If you're interested in Logosynthesis, my latest development, go to www.logosynthesis.net
This is a very simple procedure in which you develop one tapping point after the other.
If you're interested in the latest news in the field of energy psychology, go to www.logosynthesis.net
The document provides guidance on conducting emotionally-focused therapy. It discusses creating an alliance with clients through empathy, validation and normalizing clients' experiences. The therapist jointly defines problems with clients by exploring pivotal past events and reframing experiences from an attachment perspective. The goal is to identify negative interactional cycles and the feelings they produce, including vulnerable emotions like fear and sadness that often underlie defensive reactions like anger. By accessing and acknowledging these feelings, the therapist can interrupt cycles that escalate conflict between clients.
Eye movement desensitization and reprocessing (EMDR) is a form of psychotherapy used to treat post-traumatic stress disorder (PTSD) by processing traumatic memories. It was developed by Francine Shapiro and uses eye movements combined with recalling a traumatic memory to reduce the emotional intensity of that memory. The therapy process involves identifying a disturbing memory or event, developing negative and positive beliefs about it, and using sets of eye movements while focusing on the memory to install the positive beliefs. EMDR addresses past, present and future aspects of traumatic memories over multiple therapy sessions to fully process the memory.
Anxiety is a subjective state characterized by emotional distress and apprehension that stimulates physiological stress responses. It can be experienced situationally as state anxiety or reflect a personality trait as trait anxiety. Anxiety is an important concept for nurses to understand as it is commonly experienced by hospitalized patients, for example those undergoing medical procedures, awaiting test results, or receiving long-term cancer treatment. Unmanaged anxiety in patients can negatively impact health outcomes, while nurse anxiety can also influence patient care. Previous studies have examined different scales for measuring patient anxiety and the impact of reduced nurse-patient interaction times on identifying anxious patients. As advanced practice nurses, recognizing and diagnosing anxiety is important for building trust, improving compliance, and enhancing health.
Trauma and the Twelve Steps: Clinical Keys to Recovery Enhancement Jamie Marich
Course Description:
Some of the toughest clients presenting for therapy are plagued by issues of co-occurring trauma and addiction. Although the popular 12-step approaches to addiction treatment are still appropriate for clients with posttraumatic stress disorder (PTSD) and other trauma-related diagnoses, rigid application of the disease model and 12-step principles may prove more harmful than helpful for clients in need. In this workshop, participants will learn how to blend traditional knowledge about the disease of addiction and 12-step approaches to recovery with the latest research and practice knowledge on trauma. As a result, participants will find that they will be able to better connect with addicted clients who struggle with trauma, and deliver the help that they so desperately need in a way that honors their experience. In this workshop, participants will learn how to blend traditional knowledge about the disease of addiction and 12-step approaches to recovery with the latest research and practice knowledge on trauma. As a result, participants will find that they will be able to better connect with addicted clients who struggle with trauma, and deliver the help that they so desperately need in a way that honors their experience.
Objectives:
Describe how certain 12-step approaches, slogans, and customs may be counterproductive when working with a traumatized client
Explain how certain features of 12-step recovery are productive for working with addicted survivors of trauma stress and identify how these features can be implemented into treatment
Develop a plan for working 12-step recovery strategies alongside appropriate treatment for the traumatic stress issue(s)
The document provides an overview of trauma theory and treatment methods. It discusses the development of trauma theory over time and outlines concepts like post-traumatic stress disorder (PTSD) according to DSM-IV criteria. It then explains how trauma affects memory and the brain, discussing the roles of the amygdala and hippocampus in normal versus traumatic information processing. The document introduces accelerated information processing models and trauma treatment methods like EMDR and meridian-based psychotherapies that aim to rapidly reprocess traumatic memories.
Cognitive behavioral therapy (CBT) is a form of psychotherapy that was pioneered by Dr. Aaron Beck in the 1960s. CBT examines how a person's thoughts, behaviors, body, and emotions influence each other. It is based on the theory that dysfunctional emotions and behaviors result largely from dysfunctional thinking and beliefs. The goals of CBT are to challenge negative thought patterns and beliefs, and replace them with more adaptive thoughts. CBT is effective in treating many conditions including depression, anxiety, substance abuse, and eating disorders.
This is a guide to the basic model that underpins Cognitive Behavioural Therapy. It is not intended to replace any professional advice and the author does not work in any medical field; he does, however, have experience of using the tools in a different industry (not related to the medical profession) and he also has experience of having used the tools in a personal capaciity.
EMDR is a psychotherapy technique used to treat trauma and other troubling life experiences. It was developed in 1987 when Dr. Francine Shapiro observed that eye movements seemed to reduce the intensity of disturbing thoughts. EMDR uses bilateral stimulation like eye movements or taps matched with recalling distressing memories, which helps reprocess the memories so they are no longer troubling. There are 8 phases of treatment where clients identify troubling memories and process them with sets of eye movements from the therapist until the distress level reduces. EMDR can often resolve trauma within a few sessions and has been shown to be an effective treatment for PTSD.
EMDR is a form of psychotherapy developed to treat PTSD that involves bilateral stimulation such as eye movements or tapping while recalling a traumatic memory. It works in 8 phases from history taking to reevaluation. Treatment involves 60-90 minute sessions until trauma is processed, and has been shown effective for PTSD and other issues like panic attacks and phobias. Potential side effects include distressing memories from sessions. Only trained and licensed clinicians should perform EMDR.
Cognitive behavioral therapy and acceptance and commitment therapy are approaches to managing chronic pain. CBT focuses on addressing maladaptive thoughts and increasing constructive behaviors. ACT emphasizes mindfulness, acceptance of painful sensations, and commitment to valued goals. Both aim to increase flexibility and functioning despite pain, though CBT disputes thoughts while ACT explores thought impact without disputation. Strategies include exploring thought distortions, building alternative cognitions, extending social support, and committing to valued actions.
The document provides an overview of EMDR (Eye Movement Desensitization and Reprocessing) treatment. It describes EMDR as a psychological method used to treat emotional difficulties caused by disturbing experiences. It discusses hypothesized mechanisms of how EMDR works, including activating the brain's natural information processing system during REM sleep. The document also reviews research supporting EMDR's efficacy in treating conditions like PTSD, phobias, substance abuse, and more. Case examples illustrate how EMDR is used to target traumatic memories and reprocess related beliefs, emotions and sensations.
This document discusses culturally adapting cognitive behavioral therapy (CBT) for South Asian Muslims. It provides background on guidelines for culturally adapting psychotherapy and few trials that have been conducted with ethnic minority groups. The author notes that while CBT is growing in non-Western countries, there are few published studies on using CBT for depression in these contexts. The document then outlines work done in the UK and Pakistan to culturally adapt CBT for depression and psychosis. This includes qualitative research with patients, caregivers, and professionals to understand explanatory models of illness and inform adaptations. The author proposes a biopsychosocial-spiritual model and principles of cultural competence in CBT, including awareness of issues, assessment and engagement,
This document discusses touch-based treatments for neurocognitive changes at the end of life, including Alzheimer's, Parkinson's, vascular dementia, and frontotemporal dementia. It outlines psychological reactions patients may experience, transference issues therapists face, and the benefits of touch therapies. Touch therapies can help regulate affect, reduce stress hormones and increase feel-good hormones, support de-escalation of agitation, and increase meaning and communication for patients. Therapists must obtain consent, be appropriately trained, and regularly evaluate outcomes of touch-based interventions.
This document provides an overview of cognitive behavioral therapy (CBT). It discusses key figures in the development of CBT like Epictetus, Albert Ellis, and Aaron Beck. The document outlines characteristics of CBT, including its focus on how thoughts influence feelings and behaviors, its short-term and goal-oriented nature, emphasis on current behaviors, and collaborative approach between therapist and client. Specific CBT techniques are described, such as challenging irrational beliefs, keeping thought records, and assigning homework to change behaviors. Cognitive distortions that can be targeted in therapy are also defined.
EMDR is a form of psychotherapy developed in the 1980s to resolve symptoms from traumatic life events. It uses structured techniques including bilateral eye movements, sounds or taps to help the brain process distressing memories. Studies show EMDR can be highly effective in reducing PTSD symptoms, often with fewer sessions than other therapies like CBT. An EMDR session involves eight phases - history taking, preparation, assessment, desensitization, installation, body scan, closure and re-evaluation - to help restore normal memory processing and reduce the distress associated with traumatic memories.
Cognitive behavioural therapy (CBT) helps people change unhelpful thinking patterns and behaviours. [CBT focuses on how thoughts, emotions, physical feelings, and actions interact and influence each other. The therapy breaks problems down, identifies unhelpful patterns, and provides homework to practice more helpful ways of thinking and acting.] CBT has been shown to effectively treat many conditions like depression, anxiety, stress, and more. A course of CBT typically involves 6-20 weekly sessions to develop new skills through discussion and homework.
Cognitive behavioral therapy aims to change distorted and dysfunctional thinking patterns that contribute to emotional distress and maladaptive behaviors. It involves identifying and modifying automatic thoughts, core beliefs, and cognitive distortions through techniques like thought records and cognitive restructuring. CBT has been effectively applied to treat various mental health issues like depression, anxiety, eating disorders, and substance abuse.
This document discusses Carl Rogers and client-centered therapy. It provides information on:
- The key principles of client-centered therapy including unconditional positive regard, empathy, and genuineness.
- Techniques used in client-centered therapy including reflection, active listening, and not being judgmental.
- Conditions needed for success including a relationship between counselor and client and the counselor displaying empathy and positive regard.
The document discusses cognitive behavioral therapy (CBT) and mindfulness. It provides objectives and content for a presentation on these topics, including definitions of CBT and mindfulness, models like ABCDE that are used in CBT, and techniques involved. The role of mindfulness in developing acceptance is explained. Examples are given of how to apply CBT models to specific situations. Core beliefs and developing new beliefs are also addressed.
Cognitive behavioral therapy (CBT) is a goal-oriented, problem-focused form of psychotherapy that combines cognitive and behavioral techniques. CBT focuses on challenging and changing unhelpful cognitive distortions and behaviors, and teaches skills and coping strategies. It is usually short-term, involving 6-20 sessions. CBT can be used to treat a variety of mental health issues like depression, anxiety, eating disorders, and substance abuse. It aims to help clients develop more adaptive ways of thinking, behaving, and responding to situations and symptoms.
Treating Co-Occurring Mood & Anxiety Disorders with Substance Use DisordersGlenn Duncan
Evidence Based Treatment in the consideration of treating anxiety and depressive disorders in the substance using populations. Introduction into these disorders, DSM-5 preview with changes to substance use disorders, certain anxiety and mood disorders. Cultural and best practices treatment considerations (Mindfulness, DBT, MI, Cognitive Behavioral Therapy are in focus with mentions on other best practices such as EMDR). Issues of duty to warn and protect are covered also.
Cognitive behavioral therapy is an evidence-based treatment for PTSD that aims to change maladaptive behaviors and thoughts developed in response to trauma. It consists of three main components: psychoeducation to explain CBT principles, exposure to trauma-related stimuli to reduce avoidance, and cognitive restructuring to modify unhelpful thoughts. The therapeutic relationship is also emphasized, with therapist and client collaborating on treatment goals and tasks.
Trauma and the Twelve Steps: Clinical Keys to Recovery Enhancement Jamie Marich
Course Description:
Some of the toughest clients presenting for therapy are plagued by issues of co-occurring trauma and addiction. Although the popular 12-step approaches to addiction treatment are still appropriate for clients with posttraumatic stress disorder (PTSD) and other trauma-related diagnoses, rigid application of the disease model and 12-step principles may prove more harmful than helpful for clients in need. In this workshop, participants will learn how to blend traditional knowledge about the disease of addiction and 12-step approaches to recovery with the latest research and practice knowledge on trauma. As a result, participants will find that they will be able to better connect with addicted clients who struggle with trauma, and deliver the help that they so desperately need in a way that honors their experience. In this workshop, participants will learn how to blend traditional knowledge about the disease of addiction and 12-step approaches to recovery with the latest research and practice knowledge on trauma. As a result, participants will find that they will be able to better connect with addicted clients who struggle with trauma, and deliver the help that they so desperately need in a way that honors their experience.
Objectives:
Describe how certain 12-step approaches, slogans, and customs may be counterproductive when working with a traumatized client
Explain how certain features of 12-step recovery are productive for working with addicted survivors of trauma stress and identify how these features can be implemented into treatment
Develop a plan for working 12-step recovery strategies alongside appropriate treatment for the traumatic stress issue(s)
The document provides an overview of trauma theory and treatment methods. It discusses the development of trauma theory over time and outlines concepts like post-traumatic stress disorder (PTSD) according to DSM-IV criteria. It then explains how trauma affects memory and the brain, discussing the roles of the amygdala and hippocampus in normal versus traumatic information processing. The document introduces accelerated information processing models and trauma treatment methods like EMDR and meridian-based psychotherapies that aim to rapidly reprocess traumatic memories.
Cognitive behavioral therapy (CBT) is a form of psychotherapy that was pioneered by Dr. Aaron Beck in the 1960s. CBT examines how a person's thoughts, behaviors, body, and emotions influence each other. It is based on the theory that dysfunctional emotions and behaviors result largely from dysfunctional thinking and beliefs. The goals of CBT are to challenge negative thought patterns and beliefs, and replace them with more adaptive thoughts. CBT is effective in treating many conditions including depression, anxiety, substance abuse, and eating disorders.
This is a guide to the basic model that underpins Cognitive Behavioural Therapy. It is not intended to replace any professional advice and the author does not work in any medical field; he does, however, have experience of using the tools in a different industry (not related to the medical profession) and he also has experience of having used the tools in a personal capaciity.
EMDR is a psychotherapy technique used to treat trauma and other troubling life experiences. It was developed in 1987 when Dr. Francine Shapiro observed that eye movements seemed to reduce the intensity of disturbing thoughts. EMDR uses bilateral stimulation like eye movements or taps matched with recalling distressing memories, which helps reprocess the memories so they are no longer troubling. There are 8 phases of treatment where clients identify troubling memories and process them with sets of eye movements from the therapist until the distress level reduces. EMDR can often resolve trauma within a few sessions and has been shown to be an effective treatment for PTSD.
EMDR is a form of psychotherapy developed to treat PTSD that involves bilateral stimulation such as eye movements or tapping while recalling a traumatic memory. It works in 8 phases from history taking to reevaluation. Treatment involves 60-90 minute sessions until trauma is processed, and has been shown effective for PTSD and other issues like panic attacks and phobias. Potential side effects include distressing memories from sessions. Only trained and licensed clinicians should perform EMDR.
Cognitive behavioral therapy and acceptance and commitment therapy are approaches to managing chronic pain. CBT focuses on addressing maladaptive thoughts and increasing constructive behaviors. ACT emphasizes mindfulness, acceptance of painful sensations, and commitment to valued goals. Both aim to increase flexibility and functioning despite pain, though CBT disputes thoughts while ACT explores thought impact without disputation. Strategies include exploring thought distortions, building alternative cognitions, extending social support, and committing to valued actions.
The document provides an overview of EMDR (Eye Movement Desensitization and Reprocessing) treatment. It describes EMDR as a psychological method used to treat emotional difficulties caused by disturbing experiences. It discusses hypothesized mechanisms of how EMDR works, including activating the brain's natural information processing system during REM sleep. The document also reviews research supporting EMDR's efficacy in treating conditions like PTSD, phobias, substance abuse, and more. Case examples illustrate how EMDR is used to target traumatic memories and reprocess related beliefs, emotions and sensations.
This document discusses culturally adapting cognitive behavioral therapy (CBT) for South Asian Muslims. It provides background on guidelines for culturally adapting psychotherapy and few trials that have been conducted with ethnic minority groups. The author notes that while CBT is growing in non-Western countries, there are few published studies on using CBT for depression in these contexts. The document then outlines work done in the UK and Pakistan to culturally adapt CBT for depression and psychosis. This includes qualitative research with patients, caregivers, and professionals to understand explanatory models of illness and inform adaptations. The author proposes a biopsychosocial-spiritual model and principles of cultural competence in CBT, including awareness of issues, assessment and engagement,
This document discusses touch-based treatments for neurocognitive changes at the end of life, including Alzheimer's, Parkinson's, vascular dementia, and frontotemporal dementia. It outlines psychological reactions patients may experience, transference issues therapists face, and the benefits of touch therapies. Touch therapies can help regulate affect, reduce stress hormones and increase feel-good hormones, support de-escalation of agitation, and increase meaning and communication for patients. Therapists must obtain consent, be appropriately trained, and regularly evaluate outcomes of touch-based interventions.
This document provides an overview of cognitive behavioral therapy (CBT). It discusses key figures in the development of CBT like Epictetus, Albert Ellis, and Aaron Beck. The document outlines characteristics of CBT, including its focus on how thoughts influence feelings and behaviors, its short-term and goal-oriented nature, emphasis on current behaviors, and collaborative approach between therapist and client. Specific CBT techniques are described, such as challenging irrational beliefs, keeping thought records, and assigning homework to change behaviors. Cognitive distortions that can be targeted in therapy are also defined.
EMDR is a form of psychotherapy developed in the 1980s to resolve symptoms from traumatic life events. It uses structured techniques including bilateral eye movements, sounds or taps to help the brain process distressing memories. Studies show EMDR can be highly effective in reducing PTSD symptoms, often with fewer sessions than other therapies like CBT. An EMDR session involves eight phases - history taking, preparation, assessment, desensitization, installation, body scan, closure and re-evaluation - to help restore normal memory processing and reduce the distress associated with traumatic memories.
Cognitive behavioural therapy (CBT) helps people change unhelpful thinking patterns and behaviours. [CBT focuses on how thoughts, emotions, physical feelings, and actions interact and influence each other. The therapy breaks problems down, identifies unhelpful patterns, and provides homework to practice more helpful ways of thinking and acting.] CBT has been shown to effectively treat many conditions like depression, anxiety, stress, and more. A course of CBT typically involves 6-20 weekly sessions to develop new skills through discussion and homework.
Cognitive behavioral therapy aims to change distorted and dysfunctional thinking patterns that contribute to emotional distress and maladaptive behaviors. It involves identifying and modifying automatic thoughts, core beliefs, and cognitive distortions through techniques like thought records and cognitive restructuring. CBT has been effectively applied to treat various mental health issues like depression, anxiety, eating disorders, and substance abuse.
This document discusses Carl Rogers and client-centered therapy. It provides information on:
- The key principles of client-centered therapy including unconditional positive regard, empathy, and genuineness.
- Techniques used in client-centered therapy including reflection, active listening, and not being judgmental.
- Conditions needed for success including a relationship between counselor and client and the counselor displaying empathy and positive regard.
The document discusses cognitive behavioral therapy (CBT) and mindfulness. It provides objectives and content for a presentation on these topics, including definitions of CBT and mindfulness, models like ABCDE that are used in CBT, and techniques involved. The role of mindfulness in developing acceptance is explained. Examples are given of how to apply CBT models to specific situations. Core beliefs and developing new beliefs are also addressed.
Cognitive behavioral therapy (CBT) is a goal-oriented, problem-focused form of psychotherapy that combines cognitive and behavioral techniques. CBT focuses on challenging and changing unhelpful cognitive distortions and behaviors, and teaches skills and coping strategies. It is usually short-term, involving 6-20 sessions. CBT can be used to treat a variety of mental health issues like depression, anxiety, eating disorders, and substance abuse. It aims to help clients develop more adaptive ways of thinking, behaving, and responding to situations and symptoms.
Treating Co-Occurring Mood & Anxiety Disorders with Substance Use DisordersGlenn Duncan
Evidence Based Treatment in the consideration of treating anxiety and depressive disorders in the substance using populations. Introduction into these disorders, DSM-5 preview with changes to substance use disorders, certain anxiety and mood disorders. Cultural and best practices treatment considerations (Mindfulness, DBT, MI, Cognitive Behavioral Therapy are in focus with mentions on other best practices such as EMDR). Issues of duty to warn and protect are covered also.
Cognitive behavioral therapy is an evidence-based treatment for PTSD that aims to change maladaptive behaviors and thoughts developed in response to trauma. It consists of three main components: psychoeducation to explain CBT principles, exposure to trauma-related stimuli to reduce avoidance, and cognitive restructuring to modify unhelpful thoughts. The therapeutic relationship is also emphasized, with therapist and client collaborating on treatment goals and tasks.
Counselling for Anxiety and Stress by Therapy and Intervention I.pptxKiranDammani1
Stress is any demand placed on your brain or physical body. Any event or scenario that makes you feel frustrated or nervous can trigger it. Anxiety is a feeling of fear, worry, or unease. While it can occur as a reaction to stress, it can also happen without any obvious trigger. Both stress and anxiety involve mostly identical symptoms, including- trouble sleeping, digestive issues, difficulty in concentrating, muscle tension, irritability or anger etc.
Mental health involves having a positive outlook, being comfortable with yourself, and being able to handle life's challenges. Good mental health means avoiding risky behaviors and respecting yourself and others. Roadblocks to mental health include all-or-nothing thinking, expecting the worst, being a perfectionist, and not living according to your values. Promoting a positive self-image involves focusing on your strengths, surrounding yourself with supportive people, finding enjoyable activities, and helping others.
Reality therapy focuses on addressing clients' present unsatisfying relationships and ineffective behaviors by teaching them choice theory. The therapist guides clients to evaluate their current behaviors, identify their needs and wants, and make plans to behave more effectively. Reality therapy uses the WDEP method - exploring the client's wants, the direction of their behaviors, having them self-evaluate, and creating plans for change. The goal is for clients to learn how to better meet their needs and develop more satisfying relationships.
1. Counselling involves a counsellor helping a client explore difficulties, see things from a different perspective, and facilitate positive change through a trusting relationship.
2. The document discusses goals of counselling such as enhancing coping skills, improving relationships, promoting decision-making, facilitating client potential, and facilitating behaviour change.
3. The counselling process typically involves initial disclosure, in-depth exploration, goal setting, intervention, and evaluation or termination. Effective counselling techniques and evaluating progress are emphasized.
1. Counselling involves a counsellor helping a client explore difficulties, see things from a different perspective, and facilitate positive change through a trusting relationship.
2. The document discusses goals of counselling such as enhancing coping skills, improving relationships, promoting decision-making, facilitating client potential, and facilitating behaviour change.
3. The counselling process typically involves initial disclosure, in-depth exploration, goal setting, intervention, and evaluation or termination. Effective counselling techniques and evaluating progress are emphasized.
OCD Action - Making CBT work - Paul Salkovskis joelocdaction
This document provides information about cognitive behavioral therapy (CBT) for obsessive compulsive disorder (OCD). It discusses what OCD is, how it can be understood, and what CBT involves. CBT aims to help patients understand the nature of their problem and "choose to change" by identifying and modifying unhelpful beliefs and behaviors. The document emphasizes that CBT requires active participation from both the patient and therapist working together as "two experts." It provides tips for choosing a therapist and getting the most out of therapy through preparation, goal setting, and behavioral experiments.
The document discusses various aspects of psychotherapy and information processing, including:
1. Psychotherapy helps clients reprocess dysfunctional information and acquire new adaptive information to improve functioning.
2. Treatment activities in psychotherapy include accessing relevant information from clients, offering new information, and facilitating information processing or inhibiting access to destructive information.
3. Energy psychology techniques like Emotional Freedom Techniques (EFT) aim to treat emotional problems by tapping on acupuncture points to release emotional charges and change cognitions. The basic EFT procedure involves rating distress, tapping sequences, and re-rating distress.
Stress is the body's response to any demand placed on it and can be caused by both external and internal factors. The effects of stress include emotional, physiological, cognitive, and behavioral impacts. While some stress is normal and can be motivating, too much stress without adequate coping resources can negatively impact health and well-being. It is important to learn to manage stress through awareness, reducing stressors when possible, moderating emotional and physical reactions, maintaining physical and emotional reserves, and using stress reduction techniques like exercise, relaxation, and social support.
This is an application of EP I wrote for the use with addiction.
If you're interested in the latest hot news in the field of energy psychology, go to www.logosynthesis.net !
Cbt workshop for internationally trained health professionalsMatt Stan
Cognitive therapy is an active, directed, time-limited, structured approach, used to treat a variety of psychiatric disorders (depression, anxiety, phobias, chronic pain and others)
The document discusses the history and types of therapy. It describes how maltreatment of the mentally ill led to the humane movements started by Pinel and Dix. The major types discussed are psychotherapy, biomedical therapy, psychoanalysis, humanistic therapies like person-centered therapy, behavioral therapies using techniques like exposure therapy and systematic desensitization, cognitive therapy, and group/family therapies. Effectiveness is difficult to measure but research finds therapy more helpful than no therapy.
This document outlines various psychotherapy techniques including psychoanalysis, milieu therapy, and cognitive behavioral therapy. It discusses Sigmund Freud's development of psychoanalysis and its focus on unconscious mental conflicts. Key techniques in psychoanalysis include free association, dream analysis, hypnosis, catharsis, and abreaction therapy. Milieu therapy aims to structure the treatment environment to promote behavioral changes. Cognitive behavioral therapy teaches patients to identify and change unhelpful thought and behavior patterns related to their problems.
Innovation in mental_health_education_in_the_uk_henkpar
The document discusses developing skills for delivering integrated mental health care in primary care settings in the UK. It describes a workshop that aims to provide GPs experience with primary care focused education on redesigning services to meet individual patient needs. The workshop would teach practical techniques for managing anxiety and depression in 10 minute consultations and focus on using empathy, active listening skills and addressing both psychological and physical health needs in an integrated way.
Solution Focused Brief Therapy (SFBT) aims to be brief, typically 5-8 sessions of 45 minutes each. It focuses on solutions rather than problems, and the future rather than the past. Key principles include focusing on exceptions, times when the problem does not occur, and having clients define their goals. Therapists ask questions about strengths, resources, exceptions, and relationships. They use techniques like the miracle question, scaling questions, and exception seeking questions to help clients envision solutions.
The document outlines the anxiety process and strategies for managing anxiety. It describes how anxiety causes physiological responses in the body through adrenaline release and redirects blood flow. It then discusses cognitive strategies for challenging anxious thoughts including considering alternative perspectives and problem solving. Breathing exercises, imagery, meditation, and exposure techniques are presented as therapies to help reduce sensitivity to anxiety over time. The importance of formulating a treatment plan and goals through mutual agreement between therapist and client is also highlighted.
Eye movement desensitization and reprocessing (EMDR) therapy is a form of psychotherapy that has gained significant recognition in recent years. Initially developed to treat post-traumatic stress disorder (PTSD), EMDR has shown effectiveness in addressing a wider range of mental health challenges.
Individual psychotherapy involves meeting with a therapist to explore one's feelings, attitudes, thoughts, and behaviors in order to bring about positive change. The goals are to reduce symptoms, modify disturbed patterns, and promote personal growth. Different types were discussed, including psychoanalysis which focuses on unconscious forces, supportive therapy for chronic conditions, hypnosis using relaxation techniques, and reality therapy which emphasizes present coping skills. The nurse's role is to reinforce positive behavior, coordinate care, develop trust, and explain the treatment process.
Similar to Distress reduction techiques and tools (20)
This document provides information about a therapeutic questioning workshop presented by Chris Lobsinger. It includes:
1. Diagrams and tables outlining different types of therapeutic questions, including their intents and effects. Question types include lineal, circular, strategic, and reflexive questions.
2. Descriptions and examples of different question types, such as problem definition questions, hypothetical future questions, and confrontation questions.
3. Discussions of how questions can have different effects on clients and therapists, such as opening up new possibilities or inviting judgment.
4. Information on tailoring questions based on a client's stage of change, according to models like Motivational Interviewing. Sample questions are provided for different
This document provides an overview of key concepts in family therapy. It discusses systems theory perspectives, including circular causality, reciprocal relationships, and holistic views of families. Specific models are described, like structural and strategic family therapy. Key concepts like boundaries, narratives, and power differentials are examined. The document emphasizes strengths-based and solution-focused approaches, co-constructed change, and the importance of self-reflection for therapists.
This document discusses the emotional responses that caregivers experience when working with traumatized individuals, including vicarious trauma, burnout, and transformation. It defines terms like vicarious trauma, secondary traumatic stress, compassion fatigue, and burnout. It notes risk factors for these conditions like high job demands, lack of support, and personal trauma history. It also discusses the impacts on caregivers' sense of self, worldview, and clinical work. Strategies are presented for managing negative effects and enhancing positive effects.
The document discusses assessing and managing potentially violent clients. It describes grades of violence from verbal abuse to physical attacks. Factors that can predict violence are discussed, such as appearance, mood, speech, and history of violence or substance abuse. Causes of violence include psychiatric illness, drugs, disabilities, and personality disorders. Safety tips are provided for counselors as well as techniques for de-escalating aggression, conducting home visits, and following up after a violent incident. Assessing a client's potential for and intent of violence involves considering history, intent statements, and ability to control thoughts and impulses.
This document outlines the common factors approach to counseling and psychotherapy. It discusses several common factors models, including those proposed by Fisher and Lambert. Fisher identified four common factors: the therapeutic relationship, shared worldview, client expectations, and ritual or intervention. Lambert identified five common factors: the therapeutic relationship, client variables, technique/model, placebo, and expectancy. The document also discusses the importance of the working alliance and addressing alliance ruptures when they occur. It emphasizes applying common factors through a culturally-informed lens and considering factors like a counselor's expertise, credibility, and use of cultural rituals or interventions.
This document provides information about providing culturally appropriate services to refugee survivors of torture and trauma. It begins with an exercise to define key terms like trauma and torture. Trauma is defined as a stressful event that overwhelms one's coping abilities, while torture is described as intentionally inflicting physical and psychological pain. The document then discusses the refugee experience, including the impacts of culture shock and differences between refugees and migrants. Refugees often flee violently and cannot return home, while migrants plan their relocation. Common psychiatric disorders seen in refugees, such as adjustment disorder and PTSD, are also outlined.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
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The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
2. Program
Support vs. Exposure?
Horowitz
Terr’s
When remembering is not advisable
Distress reduction and affect
regulation.
Watch Your breathing
3. Grounding and containment
Five senses
Where are my edges
Strength and balance
Sleep hygiene
Nightmare protocol
Containing Writing Technique
Flashback protocol
Program
5. Terr’s Typing
Type I: Single Event
Less need to provide frame Direct work with trauma
Type II: Repeatedly Traumatized
Less need to provide frame Direct work with trauma
Type IIA: Stable Background Ability to Separate
Traumas Less work on frame Direct work on trauma
I = Single event , II = Multiple events, A =Stable background,
B =Unstable background ,R = Resilience NR = No resilience
6. Type IIB: Unable to separate traumas
Build Frame before working with trauma
Type IIBR: Unstable but resilient
Reacquaint client with forgotten or
under utilized resources
Type BNR: Unstable and little resilience
Building resources is the therapy
I =Single event, II Multiple events, A =Stable background, B
=Unstable background, R =Resilience NR = No resilience
7. When remembering is not advisable
If you have not established a strong
relationship.
If the client is not familiar with therapy.
If the client is engaging in out of control
addictive behavior, self mutilation, in
danger of suicide, or homicide.
If the client is under current life stressors
Mastsakis, Aphrodite, Post Traumatic Stress Disorder, A complete treatment
Guide, New harbinger Publications ,Inc 1994
8. If the client does not have a support system
other than your self
If the client is currently in the intrusive/
hypervigilant phase of PTSD
If the client has stated she or he does not
wish to remember the trauma
If the client is suffering a psychotic episode or
is manifesting psychotic symptoms.
If the client begins to talk about trauma
during the last few minutes of a session
If the client has forgotten the memories they
have just retrieved In beginning of the
session.
9. Culturally Sensitive Use of
Techniques
Relationship proceeds technique
Shared world view/ rational for technique.
Client expectancy needs to raised
Techniques may need to be adapted for the
clients culture.
Use of common factors model
10. Distress Reduction and Affect
Regulation
It is important to help clients to feel more
in control of there affect and to help them
regulate and control their negative affect.
To reduce suffering
To reduce the use of other strategies such
as alcohol/drugs, dissociation, and
excessive avoidance which inhibit
recovery.
John briere Phd & Cathrine Scott MD Principals of Trauma Therapy, a guide to symptoms Evaluation and
treatment Sage Publications Inc 2006 Thousand Oaks London. New Dehi
11. Two categories of distress and affect
reduction.
1. Interventions for acute
destabilizing emotions.
2. Interventions that improve
negative emotional regulating
John briere Phd & Cathrine Scott MD Principals of Trauma Therapy, a guide to symptoms Evaluation and
treatment Sage Publications Inc 2006 Thousand Oaks London. New Dehi
13. Grounding principals
Focus the client attention on the here and
now which is safe and predictable.
Can be useful in emergency situational
Be careful not to stigmatize the client by
over dramatizing the situation
14. Basic Grounding
1. Focus the client attention onto the
therapist and the therapy as
opposed to internal processes.
Shift closer to the client
Speak clearly
Be careful with touch/verbal
interventions are recommended.
15. 2. Ask the client to describe his or her internal
experience ask them to label there internal
experience not in detail
3.Orient the client to immediate external
environment.
Use their name______________
You are here_________safe in this room.
This is the present not the past.
Focus of the present not the past.
16. 4. If indicated focus on breathing
methods if needed.
5. Repeat steps 2 and 3 and assess the
clients ability and willingness to
continue.
John briere Phd & Cathrine Scott MD Principals of Trauma Therapy, a guide to symptoms
Evaluation and treatment Sage Publications Inc 2006 Thousand Oaks London. New Dehi
17. Practice Grounding
In groups of three CTO client,
Therapist observer.
Role play a distressed client,
Therapist while the observer help by
prompting the therapist from the
notes.
18. Chronic Dysregulation
When posttraumatic arousal and
dysphoria are too intense they
interfere with treatment and
recovery.
Medication may be indicated but
they are not sufficient without
trauma processing.
19. Relaxation training
There are two main approaches to
relaxation training:
1.Breathing
2.Progressive relaxation: (clenching
and relaxing)
Relaxation techniques are not likely
to be helpful isolation from trauma
processing.
John briere Phd & Cathrine Scott MD Principals of Trauma Therapy, a guide to
symptoms Evaluation and treatment Sage Publications Inc 2006 Thousand Oaks
London. New Dehi
20. General Affect Regulation
Identifying and discriminating emotions
When people are over aroused the ability to
identify and label emotions can be lost and
the client can perceive their internal state as
chaotic and unpredictable.
Asking the client to name their feelings
Encouraging the client to know and label
their feelings should be an ongoing process.
John briere Phd & Cathrine Scott MD Principals of Trauma Therapy, a guide to symptoms Evaluation and
treatment Sage Publications Inc 2006 Thousand Oaks London. New Dehi
21. Identifying and countering thoughts that
antecedent intrusive experiences
The trigger
The memory
The thought that came with the
memory
The current feeling
Identify the negative cognition and a
suitable counter cognition.
John Briere Phd & Catherine Scott MD Principals of Trauma Therapy, a guide to symptoms
Evaluation and treatment Sage Publications Inc 2006 Thousand Oaks London. New Dehli
22. Practice
In groups of three CTO Client, Therapist
Observer.
Take turns remembering a time when
something triggered a memory for you.
Identify the trigger , the memory, the
thought and a countering thought.
Don’t use any memory that is highly
traumatic
23. Trigger Awareness and Intervention
Identify the thought feeling or sensation as
posttraumatic
Does the TFS make sense given my current
context?
Are these TFS to intense based on the current
context?
Does this TFS carry with it memories of the past?
Am I experiencing an altered state of awareness?
is this a situation where I usually get triggered ?
John briere Phd & Cathrine Scott MD Principals of Trauma Therapy, a guide to symptoms Evaluation and
treatment Sage Publications Inc 2006 Thousand Oaks London. New Dehi
24. Evaluate the stimuli present in the
triggering environment and identify
which is trauma reminiscent. “Find
the trigger”
Construct an adaptive strategy
Intentional avoidance
Analyse trigging experience
Increase supportive systems
Positive Self talk
Relaxation, breathing
Strategic distraction
John Briere Phd & Cathrine Scott MD Principals of Trauma Therapy, a guide to symptoms
Evaluation and treatment Sage Publications Inc 2006 Thousand Oaks London. New Dehi
25. Resistance to Tension Reducing
Behaviours
TRB’S self mutilation, impulsive
sexual behaviour, binging,
purging,
hold off as long as possible
doing it to the minimum (only)
Take a firm stand against harmful
TRBS
Controlling TRBS should not
simply be seen as stopping bad
behaviours but learning affect
regulation.
26. Affect Regulation is Learned During
Trauma Processing.
Affect tolerance is learned through
controlled non overwhelming exposure
and the increased ability to self sooth.
John briere Phd & Cathrine Scott MD Principals of Trauma Therapy, a guide to symptoms
Evaluation and treatment Sage Publications Inc 2006 Thousand Oaks London. New Dehi
27. Watching Your Breathing
Reduces Anxiety
Improves CO2 balance and reduces
flight and flight response.
Involves a number of elements
Can be practiced before it is needed
Can be practiced in increase
capacity to focused on self
28. Get comfortable
Take 3 deep breaths
Breath into diaphragm
Breath out through pursed lips to control
flow of air.
While watching the second hand, second
digits, on a watch. Alternatively count
your pulse.
29. While watching the second hand/digits,
or counting repeat and relaxing word .
The goal is to increase the amount of
time it take to exhale the breath. Don’t
hold your breath.
The can be practice three time a days
until proficient.
31. Five Senses
Start with three deep breaths
Start from the top down eyes, ears, nose,
mouth feelings, outside, feeling inside.
Concentrate on one sense at a time.
Naming slowing and rhythmically what you see,
hear….
32. Zones of Awareness
Zone 1 Seeing Hearing
Zone 2 Sensations feeling in body
Zone 3 Thoughts memories Fantasies self
talk
Complete the sentence” Now I am aware
of….. In each zone for one Min
Rotating through zones.
33. Where are my edges
Rothchild, Babette The Body Remembers Norton 2004
1. Feel your butt on the chair what
temperature is the chair? Is it the
same or different from your butt?
Is the chair hard or soft Is your
butt hard or soft? Can you tell
where your butt ends and the
chair begins?
34. 2. Try to feel your legs on the inside
of your jeans/short/pants. Is the
material smooth or rough? Does it
feel nice against your skin or is it
scratchy? Can you feel your whole
leg along the inside of the cloth or
do some parts disappear?
35. 3. Feel your feet inside your shoes.
Are they warm or cold. Move your
toes around. Is there a lot of
space or a little feel the part of the
shoe that is against the bottom of
your foot. Can you feel the
difference between the shoe and
your foot? Can you feel the bottom
of your foot?
36. Practice
Each person select one of the
exercises to practice.
The group will have ten minutes to
practice individually
Report back to larger group.
37. Sleep Hygiene
Go to bed when you are sleepy and get
up at the same time. Do not sleep in to
make up sleep, do not take naps.
Set aside time for problem solving during
the day, not at night.
Do not lie in bed if you cant sleep get out
of bed and do something distracting but
relaxing.
38. Do not use alcohol to help you sleep
Avoid caffeine after 4PM no more then
2cups a day.
Do not smoke one hour before the sleep.
Avoid sleeping tablets for long term use.
Reduce noise in sleeping place
Ensure darkness
Ensure body comfort, hunger, warmth,
pain control.
39. Exercise during the day but not before
bed.
Create a bed time ritual every night
before you go to bed.
Be aware of anything that can interfere
with your sleep. E.g. pets, digital clocks…
Management of Mental Disorders, World Health organization Collaborating center Vol2 Fourth
edition 2004
40. Nightmare protocolBabette Rorhchild 2001
Today I have been really scared of……
So I might have a nightmare and wake up
feeling…..
And my heart might beat fast, and I might be
shacking or crying.
If that happens I will tell myself is is because I
am remembering….
Then I will turn on the light and look around my
room and name the thing in the room that I see.
And I will tell myself that I just had a nightmare
and that …. Is not happening now.
41. Defusing Nightmares
Keep a pen and paper by the bed
Write out the dream/nightmare in detail.
Rewrite the dream with positive ending
Read the new dream with the positive
ending to your self before bed.
42. Containing Writing Technique
Combined compartmentalization and exposure.
Deal with self at the top of page
Write in same place and time.
Write only for 5 minutes (use timer)
Write about disturbing, sad thoughts
2-3 hours before bed.
43. Example deal:
I will write for 5 minutes each night
at 700 about some thing
disturbing , or sad on the condition
that if I do this then I will not have
my sleep interrupted or have
intrusive thought during the day.
44. If I have intrusive thought,
feeling or dreams I will say to
my self Not now later. As agree
to. I will write about this for 5
minutes a 7 but not now.
45. Flashback ProtocolBabette Rothchild 2001
Right now I am feeling…
and I am sensing in my body…
Because I am remembering…
And at the same time, I am now in the
year…
Here…….. (Name the place)
and I can see…..
and so I know…..that ….is not happening
now./anymore
46. Points To Remember
Exercise
Here and now
Body awareness
Staying with the discomfort
Not over whelming
Self soothing
Connectedness
47. Exercise
In group of three
Each member picks an exercise they
would like to practice.
C.T.O. Client, Therapist Observer
roles.
48. Exercise 1
1. Use Fisher’s Common Factors:
The therapeutic relationship
Shared world view
Client expectations
Ritual or intervention
to describe how these were involved in
while implementing the technique.
49. Exercise 2
Use Alliance model (Bond, Goal,
Task) to discuss how development
of bond and goal agreement
supported the task (ie, technique
used).
50. References
John briere Phd & Cathrine Scott MD Principals of Trauma Therapy, a
guide to symptoms Evaluation and treatment Sage Publications Inc
2006 Thousand Oaks London. New Dehi
Horowitz. M. Stress Response Syndromes, Aronson New York (1976)
Rothchild, Babette The Body Remembers Norton 2004 Page 80
Mastsakis, Aphrodite, Post Traumatic Stress Disorder, A complete
treatment Guide,
New harbinger Publications ,Inc 1994
Management of Mental Disorders, World Health organization Collaborating center Vol2
Fourth edition 2004