Maria Trauma Narrative Examples

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is a conjoint child and parent psychotherapy approach for children and adolescents who are experiencing significant emotional and behavioral difficulties related to traumatic life events. This online TF-CBT course shows step by step instruction in ten modules for each component of therapy. According to the introduction on the Trauma-Focused Cognitive Behavioral Therapy website it states that, “There is strong scientific evidence that TF-CBT helps children, adolescents, and their parents overcome many of the difficulties associated with abuse and trauma.” This is a very detailed online course that gives live video examples on how each process is done.

Recognizing a need for mental health professionals efficient in trauma-informed care for these children, Judy Cohen, MD, Ester Deblinger, PhD, and Anthony Manarino, PhD, developed Trauma-Focused Cognitive Behavior Therapy (TF-CBT), to serve as a specialized treatment approach to responding to the needs to these youth. TF-CBT helps children that have experienced traumatic events overcome the symptoms that may be left behind. According to the National Center for Child Traumatic stress, TF-CBT provides education and understanding of common reactions and symptoms that may result from sexual abuse and other forms of trauma. This type

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) will be used to meet the treatment goals for Neveah’s case. According to Child Welfare Information Gateway (2012), TF-CBT is an evidenced-based treatment approach for children and adolescents experiencing trauma-related mental and/or behavioral health difficulties. The treatment approach is applicable to a variety of clients as it is designed to be used with children ages three to eighteen (Lawson & Quinn, 2013). TF-CBT utilizes individual and family sessions to reduce negative emotional and behavioral responses from youth who have experienced a traumatic event(s) (Child Welfare Information Gateway, 2012). Furthermore, the treatment addresses maladaptive beliefs regarding the trauma and provides skills training and support for parents (Child Welfare Information Gateway, 2012). TF-CBT is effective for a variety of trauma’s including sexual abuse, domestic violence, and a traumatic loss (Child Welfare Information Gateway, 2012). According to Lawson and Quinn (2013), TF-CBT is the best-known approach to treatment trauma in children and adolescents. It is also an evidenced-based approach for treatment complex trauma in youth (Lawson & Quinn, 2013).

Studies estimate that over one in four children will experience trauma before the age of sixteen, and many of these youth will go on to develop Post-Traumatic Stress Disorder as a result of their trauma (Silverman, Oritz, Viswesvaran, Burns, Kulko, Putnam, & Amaya-Jackson, 2008). Children and adolescents with PTSD can benefit from a mixture of the Cognitive and Behavioral models, presented in the form of Cognitive-Behavioral Therapy (CBT). Specifically, Trauma Focused Cognitive Behavioral Therapy (TF-CBT) is the most effective method to treat PTSD, utilizing techniques from two different perspectives (cognitive and behavioral) that can

“American Psychiatric Association defines trauma as an event that represents a threat to life or personal integrity. Trauma can also be experienced when children are faced with a caregiver who acts erratically, emotional and /or physical neglect, and exploitation” (Maltby, L., & Hall, T. 2012. p. 304). Trauma comes in many different forms including: war, rape, kidnapping, abuse, sudden injury, and

A series analyses of covariance appears to have indicated that children assigned to TF-CBT, compared to those participants who were assigned to child-centered therapy, demonstrated significantly more improvement with regard to PTSD, depression, behavior problems, shame, guilt, and other abuse-related attributions. (Cohen, Deblinger, Mannarino, & Steer, 2004, p.400). Similarly, parents or guardians who were assigned to TF-CBT showed greater improvement with respect to their own self-reported levels of depression, abuse-specific distress, support of the child, and effective parenting practices allowing them to parent more effectively. (Cohen, Deblinger, Mannarino, & Steer, 2004, p. 401). TF-CBT assists both the primary caregivers along with the child to ensure everyone in the situation who experiences negative symptoms are addressed and helped therapeutically, to create an outcome where children and their families can live successfully together. This can also include communities as whole TF-CBT helps bring empowerment to its participants and allows them to face their issues head on.

What becomes vicarious trauma is when new experiences and information are unable to integrate into existing schemas. The experience of working with traumatic materials nullifies current schemas causing distress; the schemas must be adapted to absorb new information (Cohen & Collens, 2013; McCann & Pearlman, 1990). When a social workers experiences VT, these schemas have been altered negatively which causes distress and hyper-awareness to the traumatic materials which support the altered schemas (Cohen & Collens, 2013; McCann & Pearlman, 1990). Therefore, our beliefs of control and power we have over our environment are linked to how we experience and manage traumatic materials (Michalopoulos & Aparicip,

I'm sorry it took me so long to answer but Maria was a little under the weather I was waiting to see how it would develop.

. • Trauma narration, in which children describe their personal traumatic experiences, is an important component of the treatment

TF-CBT consists of both individual child and parent sessions and child-parent sessions. There are eight components to TF-CPT represented by the acronym PRACTICE (Cohen, et al, 2008). One of the core principles of TF-CBT is that of “gradual exposure” in that each of the components involves a graded exposure to the traumatic experience. As the child and parent move through the hierarchy, the intensity of the exposure increases. The use of gradual exposure in decreasing PTSD symptoms is supported by research (Kendall, Chansky, Kane, Kim, Kortlander & Ronan, 1992). This can be done in a number of ways, including the use of creative media in order to develop a trauma narrative and also to desensitize the child to trauma triggers within a safe therapeutic environment (Yule, Smith & Perrin, 2005). In particular, sand play therapy has been shown to be clinically useful for children in processing abuse and violence (Grubbs, 1994; Parson, 1997). The therapist can help the child to learn that they can approach their fears without consequences, leading to a reduction in both anxiety and trauma symptoms in their everyday life.

A couple of years ago, one night, I was about to propose to my girlfriend before an nfl game tbh, when my roommate Joseph barged into the room out of nowhere, tripped and fell over, breaking a glass table with his face. Totally ruined the mood. Now, I didn't know Joseph THAT well, don't even remember where he was from, but let' just say I put my plans on hold to help him through his injuries.Joseph had gotten a big glass shard in his eye, making him completely blind in that eye. He was walking around with one of those cotton pads on his eye for a couple of months. Then suddenly, he disappeared, along with my girlfriend .Apparently they'd bonded during the time after his injuries, and eloped together , left me behind without as much as a note.

Some personally experienced traumatic events are physical or sexual assault, natural or manmade disasters, physical or mental torture, or being diagnosed with a life threatening disease. With children it involves physical or sexual abuse. In addition, some traumatic events personally viewed are the serious physical injury or violent death of another person, whether caused by war, disaster, accident, or physical assault; or the unexpected sight of a body part or a deceased person. Further, some of the traumatic events a person hears or reads about are a sudden or violent death, a severe injury, or the physical attack of a relative or someone close (APA, 2000, pp.463-464).

and is encouraged to process the trauma from different perspectives using cues from the therapist. The patient also repeatedly engages with their fear triggers.177

Individuals that utilize avoidance mechanism can increase chances of preventing appropriate processing the traumatic event, which the post traumatic systems will dramatically increase (Briere, 2005). The primary goal of therapy through self- trauma therapy is to avoid exposing the child to high levels of post traumatic distress or discouragement. However it is also the therapist goal to facilitate exposure to traumatic exposure by limited where it does not overwhelm the child (Briere, 2004). Thus this increase awareness which a child may see as threatening, where a therapeutic exposure decreases the arousal through here and now

When I decided to take the trauma course, I was hesitant at first to take it. I did not know what to expect nor felt I would be prepare listen to stories about traumatic occurrences, despite of the number of years I have worked in the field of community mental health. Therefore, now that we are in week eight, I am delighted to have taken this course. The impression I had at first, has changed my insight concerning what is trauma, as for many years, I did not understand why a person in many instances, could not process their trauma. In a quote by Chang stated, “The greater the doubt, the greater the awakening; the smaller the doubt, the smaller the awakening. No doubt, no awakening” (Van Der Kolk, 2014, p. 22). The goes in congruence with my understanding on trauma and how it has changed during this course. As a result, I feel I am awakening when acquiring more about trauma.