My client has returned, and their PTSD is worse, will repeating therapy help? Jeremiah Schumm and colleagues (2017) examined this question in their comparison of veterans who repeated a course of manualized, cognitive-behavioural therapy for posttraumatic stress disorder compared with veterans who do not repeat. They examined three types of
According to Woody Allen, 80 percent of success is showing up. This might also be the case for therapists wanting to improve the outcomes for clients with PTSD. Kera Swanson and colleagues (2021) investigated the influence of specific activities performed during Cognitive Processing Therapy (CPT) consultation or supervision meetings. CPT
My guess would be that most clinicians would think that trauma therapy would take a long time. This case study shows otherwise. More on that below. Why CPT in a week Previous research has shown that there are often practical barriers to attending therapy for PTSD. Browne et al.
Only a limited number of research studies have examined treatment outcomes for PTSD following traumatic birth in the postnatal period. There is even less research documenting outcomes for treatment of PTSD during during pregnancy. However, in private practice and maternity settings woman are frequently referred during pregnancy with symptoms of
Why should a therapist be concerned with Therapeutic Drift? As we drift away from therapy we also drift away from effective outcomes for clients. What is therapeutic drift Therapeutic drift is defined in many ways. Generally, it is when the therapist stops using therapeutic methods. It can also include when
Joan Raphael-Leff (1993) Raphael-Leff is a well-known psychoanalyst with extensive experience working with pregnant women and mothers. In her practice and her writings, she has observed a range of approaches to baby care routines. She has described these different approaches along a spectrum of what she called “facilitator to regulator”
As common sense might tell you there could be a link between trauma and attachment. This is highlighted in the literature (Cyr, et al. 2010: Tocker, et al. 2017 and Twaite & Rodriguez-Srednicki, 2004). The link between attachment insecurity and mental health difficulties is also in the literature (Mikulincer &
The psychoanalyst Bion described the theory of containment. This concept can help us understand what happens in the mind of a parent whilst holding a distressed baby. There are also important parallels for the therapist working with a distressed patient. When an infant is distressed, their anxiety is felt to
In perinatal clinical practice, especially in maternity settings, women are frequently referred during pregnancy for treatment of PTSD. The symptoms of PTSD are often the result of a previous traumatic birth. But this raises questions such as….. Is it safe to provide PTSD treatment during pregnancy? What about the possible
PTSD occurs when a person develops rigid, unhelpful beliefs about why a traumatic event occurred. When something frightening and distressing happens, people search for explanations for why. We construct stories to create meaning. We crave a sense of coherence and control. Sometimes we also lay blame, on ourselves or others.
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