Description

Handouts

Outline

Foundations of Complex Trauma (C-PTSD)

Essentials of C-PTSD

Adaptations to C-PTSD

Overview of Tri-Phasic Model

Assessment & Treatment of C-PTSD

Therapist Preparation

• Self-regulation of ANS dysregulation and optimization of treatment delivery
• Informed consent for C-PTSD

Assessment Skill Building

• Quantitative assessment instruments and clinical interview sufficient to accurately diagnose C-PTSD and develop preliminary treatments & case planning
• Mental status exam for C-PTSD
• Monitor treatment effectiveness & identify treatment shortcomings
• First-session interventions to enhance safety, stabilization, positive expectancy and therapeutic relationship

Stage One: Safety & Stabilization

• Assessment Skills Building (Safe vs. Not Safe)
• Case Management (External vs. Internal danger)
• Therapeutic relationship
• Stabilization
  • Common/Generic Stabilization Skills for C-PTSD
  • Specialized Skills for Safety & Stabilization
• Group applications for safety & stabilization/resilience with C-PTSD
• Empirical criteria for successful completion of Stage 1 with C-PTSD clients

Stage Two: Remembrance & Mourning/Trauma Resolution

• CBT skills to lessen avoidance, arousal, shame, dysphoria, reactivity, and distorted thinking symptoms
• Compare current evidence-based/evidence-informed treatments utilized to address symptoms of C-PTSD
  • Trauma-Focused CBT
  • Cognitive Processing Therapy
  • Prolonged Exposure
  • Eye-Movement Desensitization & Reprocessing (EMDR)
  • Accelerated Resolution Therapy/Brainspotting
  • Somatic Experiencing
  • Sensorimotor Therapy
  • Emotional Freedom Techniques/Energy Psychology
  • Internal Family Systems
  • Structural & Strategic Treatment for Dissociative Disorders
  • Ego-State Therapy
• Treatment Skills Practice
  • Attachment Trauma
  • Somatization
  • Dissociation
  • Psychoeducation/Cognitive Restructuring
  • Self-Regulation/Relaxation
  • Imaginal Exposure Techniques (IFS, NLP Reframing, Frazier’s Dissociative Table)

Stage Three: Reconnection/Resilience/Posttraumatic Growth

• Strategies for accomplishing:
  • Sustaining stabilization
  • Self-regulation of physiology
  • Self-regulation of behaviors
  • Self-regulation of emotions
  • Meaning-making
  • Reconnection
• Posttraumatic growth
  • Spiritual maturation
  • New opportunities
  • Greater strength
  • Greater appreciation
  • New Relationships
• Forward-Facing Trauma Therapy – Healing the Moral Would (Gentry)
  • Self-regulation & Direct Therapeutic Exposure (DTE)
  • Covenant & code of honor

Closure: Lessons Learned

Faculty

J. Eric Gentry Ph.D., D.A.A.E.T.S.

Compassion Unlimited

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J. Eric Gentry, Ph.D., D.A.A.E.T.S., is an internationally recognized leader in the study and treatment of traumatic stress and compassion fatigue. His Ph.D. is from Florida State University, where he studied with Professor Charles Figley – a pioneer of these two fields. In 1997, he co-developed the Accelerated Recovery Program (ARP) for Compassion Fatigue-the world’s only evidence-based treatment protocol for compassion fatigue. In 1998, he introduced the Certified Compassion Fatigue Specialist Training and Compassion Fatigue Prevention & Resiliency Training. These two trainings have demonstrated treatment effectiveness for the symptoms of compassion fatigue, and he published these effects in several journals. He has trained over 100,000 health professionals over the past 20 years.

He is the co-author of Trauma Practice: Tools for Stabilization and Recovery-a critically acclaimed text on the treatment of traumatic stress. He is also the author of the groundbreaking Forward-Facing® Trauma Therapy: Healing the Moral Wound. He is the co-author of Forward-Facing® Professional Resilience: Resolution and Prevention of Burnout, Toxic stress and Compassion Fatigue, Unlocking the Keys to Human Resilience, and Transformative Care: A Trauma-Focused Approach to Caregiving.

Speaker Disclosures:

Financial: J. Eric Gentry receives compensation as Owner of Compassion Unlimited. He receives royalties as an author for Hogrefo & Huber Publishing. Dr. Gentry receives a speaking honorarium from PESI, Inc.

Non-financial: J. Eric Gentry has no relevant non-financial relationship to disclose.