Description

Handouts

Outline

A Brief History and Evolution of Traumatic Stress, Grief & Loss

• Systemic traumatic stress theory
• Symptom review
• Review of effective treatments
• Tri Phasic model
• Most commonly used instruments to assess traumatic stress

Core Competencies of Traumatic Stress, Grief & Loss

Bio-Psycho-Social-Spiritual Factors that Produce Anxiety & Traumatic Stress

• Precipitating events
• Meaning making
• Physiology of trauma
• Perception

Adaptive and Maladaptive Coping Behaviors

• Trauma adaptation
• Systemic influences
• Emotional & psychological stressors
• Integrated theoretical concepts from stress, crisis & trauma theories
• Information Processing Model
• Psychosocial Model

Review of Effective Treatment Interventions

• Cognitive Behavioral Techniques (PE, CPT & SIT)
• EMDR & Bilateral Stimulation
• Thought Field Therapy (TFT)/Emotional Freedom Techniques (EFT)
• Sensorimotor

The Biochemical, Affective, and Cognitive Impacts of Traumatic Stress

• Affective volatility
• The body keeps the score
• Biology of traumatic stress

The Impacts of Traumatic Stress Over Time & Across & Within Developmental Stages

• Epigenetics
• Reactive Attachment Disorder
• Adrenal fatigue

The Role of Traumatic Stress in Clinical Disorders such as Personality Disorders, Dissociative Identity Disorder, and More

• Traumagenesis
• Traumaddiction
• Comorbidity

Conceptualizing a Framework of Healing for Survivors of Traumatic Stress

• Systemic perspective
• Strengths perspective

Traumatic Stress Exists Across the Continuum of Systemic Levels

• Systemic trauma theory
• Community trauma
• Vicarious secondary traumatization

Theories of Traumatic Stress, Loss and Grief

• Information Processing Model
• Psychosocial Model
• Contemporary thoughts

Bereavement and Adjustment Disorders

• Supporting normal bereavement
• Treating complicated bereavement

Assessment of Traumatic Stress Disorders

• Diagnostic and Statistical Manual of the APA
• DSM-5® changes
• ACE & Developmental Trauma
• Diagnosing PTSD with the PCL-5

Evidence-Based Techniques/Interventions

• Relaxation/Self-regulation
• Grounding
• Containment
• Writing/journaling
• Drawing art
• Healing metaphors
• Transitional objects

Demonstrations: Interactive Exercises/Application of Skills

• Cognitive Behavioral Techniques
• Narrative Exposure Therapy Technique
• Thought Field Therapy (TFT)
• Bilateral Stimulation

Limitations of the Research and Potential Risks

• Limitations of many accepted models of trauma treatment
• Weaknesses and limitations of evidence-based trauma treatment models
• Limitations of the diagnostic (DSM-5®) system
• Limitations and potential risks in grief work, due to research scarcity on the topic

Closure: Lessons Learned

Faculty

Robert Rhoton, PsyD, LPC, D.A.A.E.T.S.

Vice President

International Association of Trauma Professionals

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Robert Rhoton, PsyD, LPC, DAAETS, is a retired faculty member from Ottawa University (Phoenix) where he worked for 20 years in the Behavioral Sciences and Counseling Department. Dr. Rhoton’s primary interests are training counselors to work with traumagenic family dynamics; child & family trauma; and non-egoic models of treatment.

As CEO of Arizona Trauma Institute, Dr. Rhoton has supervised multiple outpatient clinics, juvenile justice programs, and intensive outpatient substance abuse programs for adolescents, as well as day treatment programs for children and youth, adult offender programs, child and family therapeutic services, advanced training in child and adolescent trauma treatment, family therapy, and family trauma work.

Dr. Rhoton is the past president of the Arizona Trauma Therapy Network (2010-2012). He is a Diplomate of the American Academy of Experts in Traumatic Stress and collaborates and consults with several Arizona community behavioral health agencies to fine tune their understanding of trauma. Dr. Rhoton serves on the Arizona Department of Health Services Trauma Informed Care (TIC) task-force as a community member. He is a gubernatorial appointee to the Arizona Board of Behavioral Health Examiners and Governor’s Office of Youth, Faith and Family.

Speaker Disclosure:

Financial: Robert Rhoton is CEO of Arizona Trauma Institute, LLP. He receives compensation as an Assistant Professor in the Behavioral Sciences and Counseling Department at Ottawa University. Dr. Rhoton receives a speaking honorarium from PESI, Inc.

Non-financial: Robert Rhoton serves on the Arizona Department of Health Services Trauma Informed Care (TIC) task-force as a community member and is also a gubernatorial appointee to the Arizona Board of Behavioral Health.