
Trauma therapy
What is trauma?
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Acute single-incident trauma refers to a traumatic event that occurs suddenly and is typically brief in duration, involving a single, discrete event rather than prolonged exposure to trauma.
Examples of acute single-incident traumas include:
Car accidents: Involvement in or witnessing a severe car crash.
Natural disasters: Experiencing events such as earthquakes, hurricanes, or wildfires.
Violent assaults: Being the victim of physical assault, robbery, or sexual assault.
Sudden loss: Witnessing the unexpected death of a loved one or experiencing a traumatic bereavement.
Terrorist attacks: Being present during an act of terrorism or mass violence.
Acute single-incident trauma can have a profound impact on an individual's psychological and emotional well-being, leading to symptoms such as shock, disbelief, fear, anxiety, and intrusive memories of the event. In some cases, individuals may develop post-traumatic stress disorder (PTSD) or other trauma-related disorders in the aftermath of such events.
TREATMENT INCLUDES:
Treatment for acute single-incident trauma often involves interventions aimed at addressing the immediate psychological impact of the event, stabilizing the individual, and promoting coping and resilience. This may include trauma-focused cognitive behavioral therapy (CBT), Eye Movement Desensitization and Reprocessing (EMDR), crisis intervention, and support from mental health professionals and social support networks.
The goal of treatment is to help individuals process their experiences, manage distressing symptoms, and regain a sense of safety and control in their lives.
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Complex trauma refers to prolonged or repetitive exposure to traumatic experiences, typically beginning in childhood and often involving interpersonal relationships, such as those within the family or community. Unlike single-incident traumas like car accidents or natural disasters, complex trauma involves ongoing or multiple traumatic events that occur over an extended period.
Examples of experiences that can lead to complex trauma include:
Childhood abuse: Physical, sexual, or emotional abuse experienced during childhood.
Neglect: Persistent lack of adequate care, attention, or emotional support during childhood.
Domestic violence: Witnessing or experiencing ongoing violence or abuse within the family environment.
Chronic adversity: Living in environments characterized by poverty, community violence, or other forms of social adversity.
Institutional abuse: Trauma experienced within systems such as the foster care system, juvenile justice system, or residential treatment facilities.
Complex trauma can have profound and long-lasting effects on an individual's emotional, cognitive, and relational functioning. It can disrupt the development of a secure sense of self, impair interpersonal relationships, and lead to a wide range of psychological symptoms, including anxiety, depression, dissociation, and difficulties with emotion regulation.
TREATMENT INCLUDES:
Because complex trauma involves multiple traumatic experiences and often occurs within the context of relationships, treatment typically requires a comprehensive and integrative approach.
Therapeutic interventions for complex trauma may include trauma-focused therapy modalities such as Eye Movement Desensitization and Reprocessing (EMDR), Dialectical Behavior Therapy (DBT), Cognitive Behavioral Therapy (CBT), Schema Therapy, Acceptance and Commitment Therapy (ACT) approaches specifically tailored to address attachment and relational issues.
The goal of treatment is to help individuals process their traumatic experiences, develop coping skills, rebuild a sense of safety and trust, and ultimately achieve healing and recovery.
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Intergenerational trauma, also known as transgenerational trauma or historical trauma, refers to the transmission of traumatic experiences and their associated psychological and emotional effects across generations within families or communities. Unlike individual trauma, which affects a single person or generation, intergenerational trauma impacts successive generations, often persisting long after the original traumatic events occurred.
Examples of intergenerational trauma include:
Historical injustices: Traumatic events such as genocide, slavery, colonization, forced displacement, and mass violence experienced by a particular group or community.
Systemic oppression: Persistent discrimination, marginalization, and socioeconomic disparities faced by certain racial, ethnic, or cultural groups.
Family trauma: Traumatic experiences within families, such as abuse, neglect, addiction, or mental illness, that are passed down through generations.
Cultural trauma: Loss of cultural identity, traditions, and language resulting from historical trauma and ongoing systemic oppression.
Intergenerational trauma can manifest in various ways, including:
Psychological symptoms: Such as depression, anxiety, post-traumatic stress disorder (PTSD), and unresolved grief.
Behavioral patterns: Such as substance abuse, violence, self-harm, and difficulties in forming healthy relationships.
Cultural and societal effects: Such as collective memory, cultural disconnection, and cycles of poverty and marginalization.
TREATMENT INCLUDES:
Addressing intergenerational trauma requires a multifaceted approach that acknowledges the historical, social, and cultural contexts in which it occurs. This may include trauma-informed interventions, culturally sensitive therapy modalities, community healing practices, and efforts to promote social justice, equity, and reconciliation.
By recognizing and addressing intergenerational trauma, individuals, families, and communities can work towards healing, resilience, and breaking the cycle of generational trauma.
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Systemic trauma refers to the ways in which societal structures, institutions, and cultural norms contribute to and perpetuate traumatic experiences and their effects on individuals, families, and communities:
Systemic trauma encompasses the impact of social, political, economic, and institutional systems on individuals and communities, leading to widespread harm and injustice.
Examples of systemic trauma include:
Structural racism: Discriminatory practices and policies within institutions such as education, healthcare, criminal justice, and housing that disproportionately harm marginalized racial and ethnic groups.
Gender-based violence: Systemic inequalities and patriarchal norms that perpetuate violence against women, LGBTQ+ individuals, and other marginalized genders.
Socioeconomic disparities: Policies and practices that perpetuate poverty, inequality, and lack of access to resources, resulting in trauma for individuals and communities.
Systemic trauma often leads to collective experiences of marginalization, oppression, and injustice, contributing to psychological, emotional, and social harm on a systemic level.
TREATMENT INCLUDES:
Addressing cultural trauma requires systemic and structural interventions aimed at promoting equity, justice, and healing at individual, interpersonal, community, and societal levels. This may include:
Acknowledging historical injustices and addressing their ongoing impacts through reparative and restorative justice initiatives.
Challenging discriminatory policies and practices within institutions and advocating for systemic change.
Supporting culturally sensitive and trauma-informed approaches to mental health care, education, and community development.
Fostering collective healing, resilience, and empowerment through community organizing, cultural revitalization, and social movements.
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Cultural trauma refers to the impact of historical events, collective experiences, and cultural disruptions on the identity, beliefs, and well-being of a group or society.
Examples of cultural trauma include:
Genocide and ethnic cleansing: Mass atrocities that result in the destruction of communities, cultural heritage, and intergenerational trauma.
Forced displacement and colonization: Disruptions to cultural identity, land, and traditional ways of life resulting from colonialism, imperialism, and forced migration.
Political repression and censorship: Suppression of cultural expression, dissent, and identity, leading to psychological and social trauma for individuals and communities.
Cultural trauma often shapes collective memory, identity, and narratives of resilience and resistance within affected communities, influencing cultural practices, beliefs, and worldviews.
TREATMENT INCLUDES:
Addressing cultural trauma requires systemic and structural interventions aimed at promoting equity, justice, and healing at individual, interpersonal, community, and societal levels. This may include:
Acknowledging historical injustices and addressing their ongoing impacts through reparative and restorative justice initiatives.
Challenging discriminatory policies and practices within institutions and advocating for systemic change.
Supporting culturally sensitive and trauma-informed approaches to mental health care, education, and community development.
Fostering collective healing, resilience, and empowerment through community organizing, cultural revitalization, and social movements.
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Collective trauma, stemming from exposure to distressing or traumatic events experienced collectively as a society or community, can indeed occur through watching the news.
Repeated Exposure to Traumatic Events: The news often covers a wide range of events, including natural disasters, acts of terrorism, violent conflicts, and other tragedies. When individuals repeatedly witness these traumatic events through news coverage, it can lead to heightened anxiety, fear, and distress, both individually and collectively.
Vicarious Trauma: Watching traumatic events unfold on the news can evoke strong emotional reactions, even if individuals are not directly affected by the events themselves. This phenomenon, known as vicarious trauma, occurs when individuals empathize with those who are suffering and experience emotional distress as a result.
Secondary Traumatic Stress: Individuals who work in professions that involve frequent exposure to traumatic content, such as journalists, first responders, and healthcare workers, may be particularly vulnerable to experiencing secondary traumatic stress from watching the news. This can manifest as symptoms similar to those of post-traumatic stress disorder (PTSD), including intrusive thoughts, hypervigilance, and emotional numbing.
Social and Cultural Impact: Collective trauma resulting from news exposure can have broader social and cultural implications, shaping societal attitudes, values, and behaviors. It can influence public perceptions of safety, trust in institutions, and willingness to engage with the world around them.
Phases of Trauma Work
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Phase 1: Safety & Stabilization
The first stage involves establishing safety and stability for the survivor.
This includes creating a secure environment both physically and emotionally, ensuring that the individual feels protected and supported in session and out.
Safety may involve establishing trust with a therapist, and developing coping strategies to manage distressing symptoms.
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Phase 2: Trauma Processing (Exposure)
n this stage, the survivor is encouraged to confront and process the traumatic memories. This may involve recounting the experiences in therapy, exploring associated emotions, and making sense of what happened.
Through this process, individuals can begin to integrate fragmented memories and emotions, allowing for healing and resolution.
Interventions I use include: Eye Movement Desensitization and Reprocessing (EMDR), Accelerated Resolution Therapy (ART) and Written Exposure Therapy (WET) -
SEE BELOW FOR MORE INFO ON THESE INTERVENTIONS
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Phase 3: Reconnection and Integration
The final stage focuses on reconnecting with oneself and others, as well as integrating the traumatic experience into one's broader life narrative. This involves rebuilding relationships, rediscovering a sense of identity and purpose, and finding meaning beyond the trauma.
Through this process, individuals can reclaim agency and move forward with their lives, incorporating the trauma as part of their personal history rather than allowing it to define them.
what is exposure based trauma therapy?
Exposure-based trauma interventions, including Eye Movement Desensitization and Reprocessing (EMDR), Accelerated Resolution Therapy (ART), Written Exposure Therapy (WET) and Prolonged Exposure (PE), are powerful therapeutic approaches designed to help individuals overcome the impact of traumatic experiences.
These evidence-based techniques facilitate the processing and integration of distressing memories, allowing individuals to regain a sense of safety and control in their lives.
By systematically confronting and reprocessing traumatic memories in a supportive therapeutic environment, clients can experience significant relief from symptoms of post-traumatic stress disorder (PTSD), anxiety, and other trauma-related difficulties.
I support clients in embarking on a journey towards healing, resilience, and reclaiming their lives beyond the constraints of past and current trauma.
Exposure based interventions I integrate into my trauma work during Phase 2 of treatment
eye movement desensitization & Reprocessing
(EMDR)
A psychotherapeutic approach used to treat trauma and other distressing life experiences. In EMDR therapy, individuals recall distressing memories while simultaneously engaging in bilateral stimulation, typically through side-to-side eye movements guided by a therapist's hand movements, auditory tones, or tapping. This bilateral stimulation is thought to facilitate the processing of traumatic memories by activating the brain's natural healing mechanisms.
EMDR is an evidence-based treatment for post-traumatic stress disorder (PTSD) and has also been used to address a wide range of other psychological conditions, including anxiety, depression, phobias, and grief.
Accelerated resolution therapy
(ART)
A relatively new and innovative form of psychotherapy that aims to quickly and effectively alleviate symptoms of trauma and related mental health conditions. In ART, individuals are guided through a series of structured eye movements and other techniques that facilitate the processing and resolution of distressing memories and emotions associated with trauma.
ART differs from other trauma therapies in its focus on rapid resolution of trauma symptoms, typically requiring fewer sessions than traditional therapy approaches. It emphasizes empowering individuals to change their perception of traumatic events and develop new, adaptive ways of coping.
written exposure Therapy
(WET)
A structured and evidence-based psychotherapy approach used to treat post-traumatic stress disorder (PTSD) and related symptoms. In WET, individuals are guided to write about their traumatic experiences in detail over a series of sessions.
Through the process of writing about their traumatic experiences, individuals engage in emotional processing and cognitive restructuring, allowing them to confront and make sense of their memories in a safe and controlled environment. The act of writing also facilitates the integration of fragmented memories and promotes emotional regulation.
Post Traumatic Stress Disorder
Not all trauma leads to a PTSD diagnosis….
but all trauma can still be addressed in therapy
PTSD symptoms include the following and can vary in intensity and frequency
(see list to the right)
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Flashbacks: Intense, recurrent memories of the traumatic event that can feel as if the event is happening again.
Nightmares: Repeated and distressing dreams related to the traumatic event.
Intrusive thoughts or images: Persistent and unwanted memories, thoughts, or images of the trauma that intrude into consciousness.
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Avoidance of reminders: Avoiding people, places, activities, objects, or situations that remind the individual of the traumatic event.
Emotional numbness: Feeling emotionally detached or unable to experience positive emotions.
Avoidance of thoughts or feelings: Trying to push away thoughts or feelings related to the trauma.
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Negative thoughts or beliefs: Persistent and distorted beliefs about oneself, others, or the world (e.g., "I am fundamentally flawed," "The world is completely unsafe").
Blaming oneself or others: Persistent negative emotions such as guilt or shame, or distorted beliefs about blame for the traumatic event.
Memory problems: Difficulty recalling key features of the traumatic event or gaps in memory related to the trauma.
Difficulty concentrating: Inability to focus or concentrate, often leading to problems with work or other activities.
Negative emotional state: Persistent feelings of fear, horror, anger, guilt, or shame.
Decreased interest or participation in activities: Loss of interest in activities previously enjoyed, social withdrawal.
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Hypervigilance: Being constantly on guard, easily startled, or having a heightened awareness of potential threats.
Irritability or aggression: Increased irritability, anger outbursts, or aggressive behavior.
Self-destructive behavior: Engaging in risky or self-destructive behaviors, such as substance abuse.
Sleep disturbances: Difficulty falling or staying asleep, restless sleep, or experiencing nightmares.
My commitment to treating trauma goes beyond my clinical work with clients….
For the last 4 years I have served as a clinical supervisor at Bay Area Trauma Recovery Clinic in Berkeley, California. This sliding scale non-profit clinic provides evidence-based trauma treatment for clients across Northern California and trains doctoral level clinician in the treatment of acute and complex trauma.
I will be stepping into the role of Co-Director of this clinic in September 2024.
To find out more information about BATRCS please CLICK HERE
