Category: PTSD

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Therapeutic Drift – When therapy ceases to be therapy

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

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Attachment and trauma, do I need to do anything special?

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 &

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Should PTSD be Treated During Pregnancy?

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

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Working with Birth Trauma using Cognitive Processing Therapy

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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Birth trauma

Traumatic Birth and PTSD

Assessment Considerations Birth trauma is increasingly gaining attention.  Women are beginning to speak more honestly and openly about their experiences in childbirth, and in the case of traumatic birth, to share their stories of pain, anxiety and also recovery.  However, posttraumatic stress disorder (PTSD) is still too often overlooked as

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What is the best treatment for PTSD? The jury is still out.

The first article written on this blog, was about exploring what might be the best treatment for PTSD. Five years later the conclusions are similar. Paula Schnurr, and colleagues (2022) compared prolonged exposure (PE) and cognitive processing therapy (CPT). They had a sample of 916 veterans with military-related PTSD. Participants

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The BPD-PTSD which to treatment first conundrum

In clinical practice being faced with co-morbidity is a common experience, and BPD-PTSD is one of these co-morbidities. The question of what to treat first or if co-morbidities should be treated concurrently was reviewed by a team out of Ryerson University, in Canada. Richard Zeifman and his team (2021) completed

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Can I treat my client when they might be re-exposed to trauma?

This question was examined by Naomi Ennis, Iris Sijercic and Candice Monson in their systematic review: Trauma-focused cognitive-behavioral therapies for posttraumatic stress disorder under ongoing threat, published in 2021. Enis and colleagues highlighted that there is debate about using trauma focused therapy during risk of trauma reexposure when objective safety

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Over reporting PTSD symptoms? Can I help them?

To think that your client might be over reporting their symptoms may be sacrilege on many fronts for a therapist. van Minnen (2020) examined this potentially controversial area. They described that the assumption that clients are malingering or that somehow their overreporting would be a barrier to treatment has resulted

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