Trauma Focused-Cognitive Behavioral Therapy Case Study

Spitalnick, Josh. Difede, JoAnn. Rizzo, Albert. O. Rothbaum, Barbara. “Emerging treatments for PTSD” Clinical Psychology Review, Volume 29, Issue 8, December 2009, Pages 715-726, ISSN 0272-7358, Web. 21 April 2016

Presenting Problem: it is reported that CHKD recommended that Thomas receive Trauma Focused Cognitive Behavioral Therapy in October 2013. Its reported that in each instance Thomas got into trouble with relatives and community members due to behavioral problems. In Sewptember 2013 he was sexually abused by his oldest brother. Its reported that he experiences severe trauma due to the assault . After breaking in his grandmothers home with a knife on May 31, 2016 and was placed into Norfolk Detention Center. he is becoming increasingly violent and does not respect authority. He has a hx of absconding and problematic behaviors.

TF-CBT is evidence-based and effective for various reasons including, “(1) enhancing safety early in treatment; (2) effectively engaging parents who experience personal ongoing trauma; and (3) during the trauma narrative and processing component focusing on (a) increasing parental awareness and acceptance of the extent of the youths’ on going trauma experiences; (b) addressing youths’ maladaptive cognitions about ongoing traumas; and (c) helping youth differentiate between real danger and generalized trauma reminders.” (Cohen, Mannarino, & Murray, 2011, p.128). Children and adolescent who have participated in TF-CBT have experienced a decrease in depression, improvement in social competence, and reduced PTSD symptoms across the board time and

Since the Post 9/11 Wars in Iraq and Afghanistan have ended, there has been a plethora of veterans, returning back home to the United States. Out of the thousands of veterans who were exposed to combat during their deployment, many of these soldiers experienced Acute Stress Disorder, which later turned into (PTSD) Post-Traumatic Stress Disorder, after one month of their condition not being treated (Yehuda & Wong, 2000). What makes matters worse is that many of these veterans, who endured PTSD, fail to receive treatment for their disorder, which later led to other detrimental issues, including other psychological disorders, child abuse, divorce, substance abuse, suicide and job loss. In fact a study

Evidence points to CPT’s efficacy as a psychological treatment for PTSD and has demonstrated potential to decrease symptoms of depression and guilt. Although more research is needed to determine the effectiveness of CPT with various populations, both the Department of Defense and the Department of Veterans Affairs are recommending CPT as an evidence-based treatment for PTSD. A major benefit of CPT the gains are noticeable in a very short period. The rapid response to treatment is particularly important to military and active-duty populations for whom time may be limited (Keane TM, Marshall AD, Taft

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.

I will be collaborating with The National Institute of Mental Health for the funding of the research project. The research will attempt to identify what factors determine whether someone with PTSD will respond well to Cognitive Behavioral Therapy (CBT) intervention, aiming to develop more personalized, effective and efficient treatments. The mission of this project is to transform the understanding and treatment of mental illnesses through basic and clinical research, paving the way for prevention, recovery, and cure (National Institutes of Health, 2013).

Post-traumatic stress disorder, better known as PTSD, is steadily becoming a more relevant topic of conversation in our society today. Recently this disorder has received a lot of attention due to the conflicts our military personnel are currently engaged in around the world. Another event that brought PTSD to forefront were the tragedies of 9/11. PTSD is one of the rare disorders that are a direct result of an outside traumatic event. Make no mistake about it, PTSD might be a relatively newly diagnosed disorder, but it has been around for many years. Our military servicemen had reported these conditions for many years before, now we finally have a It is an unfortunate truth that many people in our society are involved in traumatic

The effects of maltreatment in children can last through adolescence and on through adulthood for many. Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) is a very popular type of therapy that join the caregiver and the child’s sessions. The basic process of this therapy is educate and improve parenting skills, teach relaxation techniques and skills, introduce cognitive coping skills, allow the child to talk about the narrative and make the child feel comfortable about talking about the trauma and allow the child cognitively process the traumatic events, ensure that the child feels safe. Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT). For children who suffer post-traumatic stress syndrome, this treatment can require maintenance for up to 2 years after the child has completed treatment (Deblinger, Steer, & Lippmann,

The National Child Traumatic Stress Network (NCTSN) was stablished by Congress in 2000 and brings a comprehensive focus to childhood trauma. This network raises the average standard of care and improves access to services for traumatized children, their families and communities throughout the United States. The NCTSN defines trauma‑focused cognitive behavioral therapy (TF‑CBT) as an evidence‑based treatment approach that is shown to help children, adolescents, and their caregivers overcome trauma‑related difficulties. It is designed to reduce negative emotional and behavioral responses following a traumatic event. The treatment addresses distorted beliefs related to the abuse and provides a supportive environment so the individual can talk about their traumatic experience. TF‑CBT also helps parents cope with their own emotional issues and develop skills to support their children.

Although American service members have felt the lasting effects of combat throughout the history of the nation, it was not until 1980 that Post-Traumatic Stress Disorder was formally added to the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders. Once referred to as “irritable heart” or “shell-shock,” PTSD made its way into the national spotlight in the years following the wars in both Iraq and Afghanistan due to U.S. military members having difficulty reintegrating into civilian life. High rates of suicide, depression, and elevated levels of violent crime within the veteran community made the need to find an effective treatment of this disorder a top priority for the Veterans Health Administration. While it is widely accepted by medical professionals that there is no single, definitive cure for PTSD, many different methods have been cultivated within the past 15 years that make coping with it an easier process; some to a greater extent than others. While medications, namely antidepressants and benzodiazepines, usually find themselves at the forefront of any discussion regarding mental debilitation, they are not a one-size-fits-all solution to the problems that combat veterans face. As this particular disorder is attached to a certain memory or traumatic occurrence, alternative methods of rehabilitation such as Cognitive Behavioral Therapy (CBT) and Prolonged Exposure (PE) have also shown promise in

One of the most common treatment options for PTSD is cognitive behavior therapy. Cognitive behavior therapy (CBT) is a therapy in which one recognizes the ways of thinking that keep them stuck and tries to work through it. One of the first steps in CBT is being aware of your thoughts and feelings and understanding what is triggering the PTSD. Those who suffer from PTSD often blame themselves for what happened, and feel that if they would have done something different they could have changed the outcome. In CBT, one goes through their thoughts to see whether or not they are accurate. The blame that one feels is an inaccurate thought that is causing distress. During therapy, the goals is not to change what happened, but alter what one tells themself about the event in a positive way to decrease the PTSD symptoms. By doing this the PTSD symptoms slowly disappear and the results start to show. Michael Phillips and Shirley Wang wrote in their newspaper article that various studies show two-thirds of the people who complete CBT have alleviated their PTSD symptoms (Phillips and Wang 2). This shows that over half of the people who receive CBT treatment show signs of improvement. CBT is covered by the Department of Veterans Affairs and is one of the treatments that are most highly

Post traumatic stress disorder (PTSD): a mental health condition triggered by experiencing or seeing a terrifying event. PTSD and depression are the two most common mental health problems faced by returning troops. “In about 11 to 20% of veterans of the Iraq and Afghanistan wars.. Have been diagnosed with PTSD,” (War Casualties). War obviously takes a toll on veterans in numerous ways. Varying from physically to mentally. Not all of them develop problems but a noticeable amount have been diagnosed. There are veterans or active duty soldiers that return home who don’t seek treatment due to the fact they feel alone. PTSD can be life threatening if it is not treated. Returning home and trying to adjust to

PTSD (Post Traumatic Stress Disorder) is a common anxiety disorder that occurs in combat veterans during time of service, after exposure to physical and/or emotional trauma. There are many symptoms of abnormalities that result to veterans dealing with this disorder, and most are evident from a few weeks or even months after they come back from the combat area. Some of the developments include avoidance of people that could trigger a negative memory from the past, difficulty in sleeping, and having nightmares that cause reactions with violence because of their paranoia. (Understanding PTSD” 2). Depression is another major symptom that occurs and can lead to abuse of alcohol and drugs (Glicken 1). PTSD can cause hardships in relationships and affect work performance. This mental state can result disabling the returning veteran to be unable to function normally at work and other areas of their lives. It can lead relationships to be destructive, violent, and end up divorced or otherwise unstable (“Understanding PTSD” 1). PTDS does not only affect a particular person, it affects their whole surroundings as well (“Understanding PTSD” 5). Studies have shown that at least 31.8% wounded in combat had PTSD, compared to 13.6% that weren’t injured (Glicken 1). The veterans who are exposed to a traumatic stressor is the definition of PTSD and the main cause of this psychological issue (Boone 2). The protracted wars in Iraq and Afghanistan over the past 10 years have required

Lack of an effective treatment plan is major problem that is affecting the quality of medical interventions given to the war veterans with PTSD (Kennedy, Jaffee, Leskin, Stokes, Leal & Fitzpatrick, 2007). This paper will answer the following research question, “what is the effect of the application of Mindfulness-Based Stress Reduction (MBSR) to war veterans with PTSD”. The paper will contain explanation of the benefits of MBSR particularly to patients experiencing anxiety and pain. The study will make a comparison between a standard psychotherapy treatment and MBSR (Roberts, Kitchiner, Kenardy & Bisson, 2009). The research will focus on generating another treatment option for war veterans after serving in military operations for many years. It will determine the efficacy of MBSR compared to PCGT as a treatment option (Bisson, Ehlers, Matthews, Pilling, Richards & Turner, 2007).