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

Outline

Assessing trauma

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

Risk and resilience

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

Post-traumatic growth

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

The Three-Stage Consensus Model

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

Evidence-based CBT practices

• Tailoring treatment to the specific needs of your client
• Powerful CBT strategies that work
  • Overcoming avoidance
  • Effective exposure techniques
  • Modifying cognitive distortions
• Advanced uses of CBT with trauma
  • Imaginal and in vivo exposure techniques
  • Effective homework and handouts for rapid improvement
  • Addressing ambivalence
• Practical applications using proven CBT tools
  • Automatic negative thoughts
  • Negative cognitive triad
  • Thought distortions
  • Evidence review
  • Decatastrophizing
• Stress Inoculation

Trauma and children

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

Substance use disorders and trauma

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

The ethical benefits of building trauma-informed organizations

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

Ethics in trauma work

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