treating self destructive behaviors in trauma survivors a clinician s guide

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Treating Self Destructive Behaviors In Trauma Survivors

Author : Lisa Ferentz
ISBN : 9781317626671
Genre : Psychology
File Size : 90. 16 MB
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Treating Self-Destructive Behaviors in Trauma Survivors, 2nd ed, is a book for clinicians who specialize in helping trauma survivors and, during the course of treatment, find themselves unexpectedly confronted with client disclosures of self-destructive behaviors, including self-mutilation and other manifestations of deliberately "hurting the body" such as bingeing, purging, starving, substance abuse and other addictive behaviors. Arguing that standard safety contracts are not effective, renowned clinician Lisa Ferentz introduces viable treatment alternatives, assessment tools, and new ways of understanding self-destructive behavior using a strengths-based approach that distinguishes between the "experimental" non-suicidal self-injury (NSSI) that some teenagers occasionally engage in and the self-destructive behaviors that are repetitive and chronic. In the new edition, many of the treatment strategies are cross referenced to a useful workbook, giving therapists and clients concrete ways to integrate theory into practice. In addition, Ferentz emphasizes the importance of assessing for and strengthening clients' self-compassion, and explains how nurturing this idea cognitively, emotionally, and somatically can become the catalyst for motivation and change. The book also explores a cycle of behavior that clinicians can personalize and use as a template for treatment. In its final sections, the book focuses on counter-transferential responses and the different ways in which therapists can work with self-destructive behaviors and avoid vicarious traumatization by adopting tools and strategies for self-care. Treating Self-Destructive Behaviors in Trauma Survivors, 2nd ed, can be used on its own or in conjunction with the accompanying client-focused workbook, Letting Go of Self-Destructive Behaviors: A Workbook of Hope and Healing.

Letting Go Of Self Destructive Behaviors

Author : Lisa Ferentz
ISBN : 9781317626640
Genre : Psychology
File Size : 32. 52 MB
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Letting Go of Self-Destructive Behaviors offers inspiring, hopeful, creative resources for the millions of male and female adolescents and adults who struggle with eating disorders, addictions, any form of self-mutilation. It is also a workbook for the clinicians who treat them. Using journaling exercises, drawing and collaging prompts, guided imagery, visualizations, and other behavioral techniques, readers will learn how to understand, compassionately work with, and heal from their behaviors rather than distracting from or fighting against them, which can dramatically reduce internal conflict and instill genuine hope. Techniques are provided in easy-to-follow exercises that focus on calming the body, containing overwhelming emotions, managing negative and distorted thoughts, re-grounding from flashbacks, addressing tension and anxiety, decreasing a sense of vulnerability, strengthening assertiveness and communication skills, and accessing inner wisdom. This workbook can be used in conjunction with Treating Self-Destructive Behaviors in Trauma Survivors, 2nd ed, also by Lisa Ferentz, to allow therapists and their clients to approach the behaviors from the same strengths-based perspective. Workbook exercises can be completed as homework assignments or as part of a therapy session. In either case, the client is given the opportunity to process their work and share their insights with a compassionate witness and trained professional, making the healing journey even safer and more rewarding.

Treating Trauma Survivors With Ptsd

Author : Rachel Yehuda
ISBN : 1585627844
Genre : Medical
File Size : 26. 44 MB
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In recent years, considerable research, as well as clinical guidelines based on study findings, has been published on the treatment of posttraumatic stress disorder (PTSD). A gap remains, however, between the controlled environments and protocols used in intervention research and the more complex and often imperfect settings and situations that clinicians must navigate in daily practice. Moreover, clinicians routinely see patients whose comorbid substance abuse, self-destructive behavior, or medical illness would likely exclude them from research studies. In short, although the extensive literature is certainly helpful in articulating the various treatment modalities available to clinicians, the strength of the evidence for the efficacy of the treatments, and the recommendations and personal preferences of experts, the literature does not address the real-life dilemmas that clinicians face in attempting to treat trauma survivors. What is needed is a way to bridge the gap between research and practice -- to "translate" study findings into everyday clinical realities. Treating Trauma Survivors With PTSD answers that need. Its authors, experienced researchers and clinicians who are at the forefront of conceptual discourse on trauma and PTSD, are uniquely qualified to offer guidance on these issues. Among the specific topics covered are the following: Diagnosis and assessment of and treatment planning for trauma survivors with PTSD, including clinical presentations related to trauma exposure and PTSD and the implications of comorbid symptoms and disorders Treatment matching in clinical practice -- how treatment outcome findings can be used to develop profiles for predicting which patients are most likely to respond to which treatments Medications useful in the treatment of PTSD and the strength of the empirical evidence for their efficacy Trauma in children and the efficacy of various treatments, including a discussion of how treatment for children differs from that for adults Assessment and treatment of multiply traumatized patients -- those with both recent trauma and a history of childhood trauma or abuse Treatment of trauma survivors in the acute aftermath of traumatic events, including a review of some of the exciting developments in the field regarding risk factors (e.g., normal vs. pathological coping responses) that influence which individuals are most likely to develop PTSD after such events. These topics have never been more relevant than now, in the wake of the attacks that shook our country on September 11, 2001. It is the authors' hope that by reading this book, mental health practitioners will gain more confidence in applying the specialized techniques described in empirical studies to their own practices and clinical realities.

Trauma Informed Approaches To Eating Disorders

Author : Andrew Seubert, NCC, LMHC
ISBN : 9780826172655
Genre : Psychology
File Size : 85. 71 MB
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Delivers a proven treatment model for clinicians in all orientations This unique, hands-on clinical guide examines the significant relationship between trauma, dissociation, and eating disorders and delivers a trauma-informed phase model that facilitates effective treatment of individuals with all forms of eating disorders. It describes, step-by-step, a four-phase treatment model encompassing team coordination, case formulation, and a trauma-informed, dissociation- and attachment-sensitive approach to treating eating disorders. Edited by noted specialists in eating and other behavioral health disorders, Trauma-Informed Approaches to Eating Disorders examines eating disorders from neurological, medical, nutritional, and psychological perspectives. Dedicated chapters address each treatment phase from a variety of orientations, ranging from EMDR and CBT to body-centered and creative therapies. The book also reveals the effectiveness of a multifaceted, phase model approach. Recognizing the potential pitfalls and traps of treatment and recovery, it also includes abundant psychoeducational tools for the client. KEY FEATURES: Examines eating disorders from neurological, medical, nutritional, and psychological perspectives Highlights the relationship between trauma, dissociation, and eating disorders Maps out a proven, trauma-informed, four-phase model for approaching trauma treatment in general and eating disorders specifically Elucidates the approach from the perspectives of EMDR therapy, ego state therapy, somatosensory therapy, trauma-focused CBT, and many others Provides abundant psychoeducational tools for the client to deal with triggers and setbacks Offers the knowledge and expertise of over 20 international researchers, medical professionals, and clinicians

Finding Your Ruby Slippers

Author : Lisa Ferentz
ISBN : 1683730429
Genre : Self-Help
File Size : 29. 97 MB
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Trust your own instincts and find happiness, contentment, success and self-worth. Overcome everyday obstacles, boost confidence, and end self-critical thoughts with simple life lessons from internationally recognized psychotherapist Lisa Ferentz. With more than 30 years of clinical experience, Lisa blends clinically proven approaches and journaling space to help you look inside yourself for tools to embrace change, take healthy risks, and increase self-compassion to nurture your personal and professional growth.

Rebuilding Shattered Lives

Author : James A. Chu
ISBN : 1118015061
Genre : Psychology
File Size : 57. 77 MB
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Praise for Rebuilding Shattered Lives, Second Edition "In this new edition of Rebuilding Shattered Lives, Dr. Chu distills the wisdom he has gained from many years spent building and directing an extraordinary therapeutic community in a major teaching hospital. Both beginners and experienced clinicians will benefit from this book's unfailing clarity, balance, and pragmatism. An invaluable resource."—Judith L. Herman, MD, Director of Training for the Victims of Violence Program, Cambridge Health Alliance, Cambridge, MA "The need for this work is immense, as is the reward. Thank you, Dr. Chu, for continuing to share your sustaining insight and wisdom in this updated edition."— Christine A. Courtois, founder and principal, Christine A. Courtois PhD & Associates, PLC, Washington, DC; author of Healing the Incest Wound: Adult Survivors in Therapy and Recollections of Sexual Abuse Praise for the first edition: "Dr. James Chu charts a deliberate and thoughtful approach to the treatment of severely traumatized patients. Written in a straightforward style and richly illustrated with clinical vignettes, Rebuilding Shattered Lives is filled with practical advice on therapeutic technique and clinical management. This is a reassuring book that moves beyond the confusion and controversies to address the critical underlying issues and integrate traditional psychotherapy with more recent understanding of the effects of trauma and pathological dissociation." —Frank W. Putnam, MD A fully revised, proven approach to the assessment andtreatment of post-traumatic and dissociative disorders—reflecting treatment advances since 1998 Rebuilding Shattered Lives presents valuable insights into the rebuilding of adult psyches shattered in childhood, drawing on the author's extensive research and clinical experience specializing in treating survivors of severe abuse. The new edition includes: Developments in the treatment of complex PTSD More on neurobiology, crisis management, and psychopharmacology for trauma-related disorders Examination of early attachment relationships and their impact on overall development The impact of disorganized attachment on a child's vulnerability to various forms of victimization An update on the management of special issues This is an essential guide for every therapist working with clients who have suffered severe trauma.

Healing The Fragmented Selves Of Trauma Survivors

Author : Janina Fisher
ISBN : 9781134613014
Genre : Psychology
File Size : 49. 13 MB
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Healing the Fragmented Selves of Trauma Survivors integrates a neurobiologically informed understanding of trauma, dissociation, and attachment with a practical approach to treatment, all communicated in straightforward language accessible to both client and therapist. Readers will be exposed to a model that emphasizes "resolution"—a transformation in the relationship to one’s self, replacing shame, self-loathing, and assumptions of guilt with compassionate acceptance. Its unique interventions have been adapted from a number of cutting-edge therapeutic approaches, including Sensorimotor Psychotherapy, Internal Family Systems, mindfulness-based therapies, and clinical hypnosis. Readers will close the pages of Healing the Fragmented Selves of Trauma Survivors with a solid grasp of therapeutic approaches to traumatic attachment, working with undiagnosed dissociative symptoms and disorders, integrating "right brain-to-right brain" treatment methods, and much more. Most of all, they will come away with tools for helping clients create an internal sense of safety and compassionate connection to even their most dis-owned selves.

Cognitive Behavioral Conjoint Therapy For Ptsd

Author : Candice M. Monson
ISBN : 9781462507498
Genre : Psychology
File Size : 25. 6 MB
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Presenting an evidence-based treatment for couples in which one or both partners suffer from posttraumatic stress disorder (PTSD), this step-by-step manual is packed with practical clinical guidance and tools. The therapy is carefully structured to address both PTSD symptoms and associated relationship difficulties in a time-limited framework. It is grounded in cutting-edge knowledge about interpersonal aspects of trauma and its treatment. Detailed session outlines and therapist scripts facilitate the entire process of assessment, case conceptualization, and intervention. In a large-size format for easy photocopying, the book includes 50 reproducible handouts and forms.

Treating The Trauma Of Rape

Author : Edna B. Foa
ISBN : 1572307366
Genre : Psychology
File Size : 79. 74 MB
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After reviewing the relevant treatment literature, the authors detail how to assess and treat PTSD using a cognitive-behavioral approach. Co mplete instructions are given for planning treatment, as well as for i ntroducing the patient to the various interventions. Nine exposure and stress management techniques are then detailed, including imaginal ex posure (trauma reliving), in vivo exposure, relaxation training, thoug ht-stopping, cognitive restructuring, covert modeling, and role-playin g. Enhancing the books clinical utility are numerous case examples il lustrating how to implement the techniques, as well as explanations of how to cope with common problems and complications in treatment. The final chapter presents detailed outlines of three suggested treatment programs.

Neurofeedback In The Treatment Of Developmental Trauma Calming The Fear Driven Brain

Author : Sebern F. Fisher
ISBN : 9780393707861
Genre : Medical
File Size : 58. 51 MB
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Working with the circuitry of the brain to restore emotional health and well-being. Neurofeedback, a type of "brain training" that allows us to see and change the patterns of our brain, has existed for over 40 years with applications as wide-ranging as the treatment of epilepsy, migraines, and chronic pain to performance enhancement in sports. Today, leading brain researchers and clinicians, interested in what the brain can tell us about mental health and well being, are also taking notice. Indeed, the brain's circuitry—its very frequencies and rhythmic oscillations—reveals much about its role in our emotional stability and resilience. Neurofeedback allows clinicians to guide their, clients as they learn to transform brain-wave patterns, providing a new window into how we view and treat mental illness. In this cutting-edge book, experienced clinician Sebern Fisher keenly demonstrates neurofeedback’s profound ability to help treat one of the most intractable mental health concerns of our time: severe childhood abuse, neglect, or abandonment, otherwise known as developmental trauma. When an attachment rupture occurs between a child and her or his primary caregiver, a tangle of complicated symptoms can set in: severe emotional dysregulation, chronic dissociation, self-destructive behaviors, social isolation, rage, and fear. Until now, few reliable therapies existed to combat developmental trauma. But as the author so eloquently presents in this book, by focusing on a client's brain-wave patterns and "training" them to operate at different frequencies, the rhythms of the brain, body, and mind are normalized, attention stabilizes, fear subsides, and, with persistent, dedicated training, regulation sets in. A mix of fundamental theory and nuts-and-bolts practice, the book delivers a carefully articulated and accessible look at the mind and brain in developmental trauma, what a “trauma identity” looks like, and how neurofeedback can be used to retrain the brain, thereby fostering a healthier, more stable state of mind. Essential clinical skills are also fully covered, including how to introduce the idea of neurofeedback to clients, how to combine it with traditional psychotherapy, and how to perform assessments. In his foreword to the book, internationally recognized trauma expert Bessel van der Kolk, MD, praises Fisher as “an immensely experienced neurofeedback practitioner [and] the right person to teach us how to integrate it into clinical practice.” Filled with illuminating client stories, powerful clinical insights, and plenty of clinical "how to," she accomplishes just that, offering readers a compelling look at exactly how this innovative model can be used to engage the brain to find peace and to heal.

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