They involve trauma, dealing with interpersonal problems, and difficulty managing emotions. Cognitive Behavioral Therapy (CBT) and the type of CBT that will be used is Dialectical Behavioral Therapy (DBT) will be the best therapies with this patient to treat a comorbid diagnosis of PTSD and BPD to help reduce both symptoms and work to reduce the patient’s depression and anxiety. CBT is a “Short term goal-oriented psychotherapy treatment that takes a hand on practical approach to problem-solving” (Psych Central, 2016). According to Psych Central (2016), the goal for Cognitive Behavioral Therapy is “To change patterns of thinking or behavior that is behind people’s difficulties and to change the way they feel”. Both therapies are the same, but The National Alliance on Mental Illness (2017) states that DBT differs from CBT because it “Emphasizes validation or accepting uncomfortable thoughts, feeling, and behaviors instead of struggling with
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).
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
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).
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.
Specific Therapeutic Interventions: Client will take the following assessments: PTSD Symptom Scale and Post Traumatic Diagnostic Scale. Screening for post trauma symptoms requires that the experience be explicitly discussed so that re-experiencing and avoidance symptoms can be assessed.
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.
“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
It is a beautiful, sunny day in Miami, Florida. The birds are chirping, and the fresh ocean breeze is rustling the leaves. Steve Weston is trying to make the most out of this hot, summer day. He spots a moving truck outside his window. A young girl with dark hair and bright yellow glasses and what appears to be her father get out of the truck and go into the house next door. Steve was not expecting new neighbors so soon. All of the sudden, Steve hears loud banging noises, one after the other after the other. To others that is the sound of a nail gun going off, but to him that is the sound of the bullets firing from an M240 machine gun. He is transported to the battlefield where he lost his best friend and wife, Caroline Jones. After Steve came
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.
that is very likely to happen. Some people may be more susceptible to the exposure of a traumatic event than others and may deal with them in distinct ways. Trauma focused cognitive behavioral therapy diminished negative outcomes in children’s lives after traumatic experiences through appropriate coping skills and emotional stability. Although effectiveness has been seen with TF-CBT, the variation among people must be taken into consideration to be completely successful. With appropriate adjustments to the treatment’s assessment, multicultural factors will no longer be barriers for a successful treatment and can benefit ethnic minority such as Hispanic
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.
Based on the available research, the authors have chosen Cognitive- Behavioral Therapy as the most effective intervention when working with refugee and asylee youth. This intervention was chosen due to the high amount of research conducted using this intervention with refugee and asylee youth. The pliability of CBT allows this intervention to mold to the unique needs of this population and serve the vast degree of trauma and mental health conditions this population is vulnerable to. CBT provides an opportunity to research a variety of symptoms related to the refugee experience, including PTSD and depression, to combat the vast amount of trauma this population often has experienced (Murray et. al., 2008). CBT is a malleable therapy that has been explored and built upon to adapt to refugee and asylee youth experiences.
“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"