This is a good and very difficult question. I would use CBT with this client if they would think that because they had a bad interaction with an Arab American then that means that they would have the same experience with all of them. I would explore those thoughts, rationale, and fears further. I agree with Sara on using exposure therapy because it allows the client to expose themselves to what is causes the trauma in order to reduce its negative effects. I would start small with the client by asking them to introduce themselves to an Arab American. Depending how well the client is doing then I would gradually add more. For example, The client would go to an Arab American
In addition to CBT and Group I would utilize exposure therapy with Karen, which would allow her to have less fear of her memory of the car accident by repeatedly speaking about her trauma (Zoellner, Feeny, Bittinger, Bedard-Gilligan, Slagle, Post, & Chen, 2011). Karen has learned to fear thoughts, feelings, and situations, as well as her close relationships that remind her of car accidents. I would help Karen talk about the trauma in hopes of helping her control her feelings and avoidance of the topic. Karen was very hesitant in discussing the car accident itself. She described it but did not seem to have the desire to discuss how the car accident made her feel; therefore, it would be critical to bring these feelings out of her and expose her to those feelings and emotions (Zoellner, et. al., 2011). Karen would learn to not be afraid of these feelings and memories from the car accident.
Per the article, evaluation of TF-CBT is supported by several randomized controlled trials and effectiveness studies. The evidence supporting the effectiveness of trauma-focused CBT in children suffering PTSD because of sexual abuse is growing (Kar, 2011). The findings from the review of literature was that Trauma-focused CBT for symptomatic children has been successful within 1–6 months of experiencing sexual abuse. It is also recommended that children have some support going through this process. It has been suggested that, where appropriate, families should be involved in the treatment of PTSD in children and young people (National Institute for Clinical Excellence, 2005). The treatment has portions where family are involved in therapy through psychoeducation and learning coping techniques when the trauma narrative is told and
The first type of Treatment is called Cognitive behavioral therapy or CBT. Research says that this is the best type of treatment and counseling for anyone diagnosed with PTSD. Cognitive behavioral therapy is used to help the veteran think differently about their thoughts or feelings from the past. The main goal by the therapist is to help the veteran find out what past events or flashbacks correlate with the veteran’s thoughts that make the symptoms of PTSD occur. Many times, the veterans will blame themselves for a decision they made but the therapist will walk them through on how it was not their fault. Cognitive Behavioral therapy can last for three to six months. Although to some people it may seem that CBT might be the best type of treatment, it does not always work. One reason why it might not work is because the therapist may like the experience and education. The therapist may be qualified but sometimes, the therapist may fail at connecting with patient. The connection that is missed by some therapists and patients can simply occur by the therapist not having all the knowledge about all the situations soldiers face when they go to war. Soldiers struggle with their therapy if they feel that the therapist who is helping them does not have the knowledge about the battlefield or the difficulties of war itself. The relationship of the therapist and veteran can also play a major role on the effectiveness of the therapy. Some soldiers may struggle with feeling comfortable with their therapist because they are sensitive and emotional. Sometimes veterans struggle with this therapy if they cannot develop a relationship with their therapist. Another factor that can affect the effectiveness of CBT is the timing. Sometimes three to six months is not enough to show long term effectiveness of the therapy. Another treatment option is exposure therapy.
Researchers on Cognitive-behavior Therapy (CBT) report that CBT interventions are the most effective evidence-based treatments to treat depression among Latino youth (Feldman, Trupin, Walker & Hansen). CBT consist of pyscho-education, coping skills, exposure, monitoring of thoughts, moods and activities, illogical thinking, self-regulation and parent education/training when treating children (Carr, 2004). One specific CBT is Trauma-focused which focuses on youth who experience complex trauma. With Trauma-focused Cognitive-behavior Therapy (TF-CBT) therapist gather basic background to make the
These 80 patients were broken down into groups of 6-8 clients spread out over 11 groups with two co-therapists, one of each gender all with the same curriculum to minimize any variance. Therapy was conducted in the group setting with patients given homework assignments so they could work on an individual level following each session. Patients who completed the 11 groups were considered at fully completed whereas participants who dropped out before all 11 were complete were listed as drop-outs and the Trauma Recovery Group had a 59% completion rate. The results support the inclusion of group CBT therapy for the management of patients with
Research question: What is the efficacy of Dialectical Behavioral Therapy Intervention for African American women who are victims of Domestic Violence that suffer from Post Stress Traumatic disorder in addition to other mental health disorders.
Compare and contrast CBT and psychodynamic approaches to counselling focusing particularly on trauma and PTSD (post traumatic stress disorder): Theory and therapy.
The literature has shown children dealing with PTSD have many intervention tools that can be administered by clinicians in direct practice. PTSD can present symptoms that are often diagnosed as anther disorder such as oppositional defiant, conduct, mild TBI, and separation anxiety. There are many evidence-based intervention tools used in treatment such as recovery techniques, pharmacotherapy, psychoeducation, psychodynamic and cognitive behaviour therapy. Cognitive Behaviour Therapy (CBT) is the most used intervention tool in direct practice, and it is used in countries around the world. CBT is used with children with different ethnicities with ages ranging from preschool to high school. Many clinicians use CBT with other intervention treatment
Exposure to traumatic stressors is a critical element of probation work. Despite the tremendous amount of research on primary and secondary trauma, there is a paucity of research regarding the risks and effects of primary and secondary trauma on corrections personnel, and specifically female probation officers. Working as a probation officer involves a variety of roles and includes exposure to direct danger from threatening clients as well as exposure to secondary trauma in the form of “trauma material, including graphic descriptions of violent events, exposure to the realities of people’s cruelty to one another”
“The sad fact is that many women of color are living with PTSD and CPTSD resulting from childhood traumas but are not simply receiving the diagnosis and do not get the appropriate treatment.” The stigma within the African American community prohibits a person from seeking help and not airing out your dirty laundry for fear of being labeled “crazy” with their family or social circles. Dr. Kuban cites The National Institute of Trauma and Loss in Children (TLC) that witness trauma is not seen as a mental disorder but as a painful experience, which many children struggle to cope. I did not have anyone to talk to that could understand how I felt. I didn’t know it then, my inability to say what I felt as a child was depression. Terrie Williams, publicist and therapist call this the “wake-up call” that even little kids suffer from depression even if they don’t know it. Many adults believe children do not suffer with depression and for several decades mental health professionals did not have an official diagnosis for childhood depression. Adults and teachers often underestimate a child suffering PTSD and misinterpret their silence for
“Cognitive-behavioral therapy (CBT), specifically exposure therapy, has garnered a great deal of empirical support in the literature for the treatment of anxiety disorders” (Gerardi et al., 2010). Exposure therapy is an established PTSD treatment (Chambless & Ollendick, 2001) and so is a benchmark for comparing other therapies (Taylor et al, 2003). “Exposure therapy typically involves the patient repeatedly confronting the feared stimulus in a graded manner, either in imagination or in vivo. Emotional processing is an essential component of exposure therapy” (Gerardi et al., 2010). “Exposure therapy in the virtual environment allows the participant to experience a sense of presence in an immersive, computer-generated, three-dimensional,
Imagine being by yourself in the dark, you are afraid, and alone. You cannot move, sleep, or do anything. Achluophobia is the scientific term for fear of the dark. This is also called as scotophobia or nyctophobia. Nyctophobia is derived from the Greek term “night” whereas scotophobia is derived from the Greek term “darkness"
The first method of treatment is trauma-focused cognitive-behavioural therapy. In this method, a patient is gradually but carefully exposed to feelings, thoughts, and situations that trigger memories of the trauma. By identifying the thoughts that make the patient remember the traumatic event, thoughts that had been irrational or distorted are replaced with a balanced picture. Another productive method is family therapy since the family of the patient is also affected by PTSD. Family therapy is aimed at helping those close to the patient understand what he/she is going through. This understanding will help in the establishment of appropriate communication and ways of curbing problems resulting from the symptoms (Smith & Segal, 2011).
Existing controlled examinations of intervention efficacy specific to only sexual assault and rape are presently minimal in comparison to intervention examinations of combination or other types of trauma (Regehr, Alaggia, Dennis, Pitts, & Saini, 2013). Psychotherapeutic interventions that fail to differentiate sexual assault and rape victims from other types of trauma victims may decrease the treatment effectiveness or inadvertently harm participants in this subgroup. Trauma associated from rape or sexual assault differs from other forms of trauma and treatment efficacy should be examined in this manner. Trauma from rape or sexual assault entail symptoms of PTSD, depression, suicidal ideations and sexual dysfunction. Individuals may also indicate feelings of vulnerability, loss of control, fear, shame, self-blame, societal blame and stigma (Russell & Davis, 2007; Regehr et al., 2013; Ullman &Peter-Hagene, 2014). This research proposal intends to explore the long term effectiveness of Prolonged Exposure Therapy (PE) at reducing distress and trauma explicitly for adult victims of sexual assault and rape.
When considering the significance and use of Cognitive Behavior Therapy within therapeutic practice (as with any other modality used) it is necessary to consider the impact/context within todays multi-cultural society. Awareness of Multiculturalism provides a fourth dimension to the three traditional helping orientations psychodynamic, existential-humanistic and cognitive. All learning occurs and identities are formed within a persons cultural context. Cultural identity is dynamic and ever changing in todays society. Understanding the cultural and