#MeToo: What You Need to Know About How to Treat Trauma, Even If You Don't Treat Trauma
Category: Adult Anxiety - General
Keywords: Trauma | Women's Issues | Coping
Presentation Type: Mini Workshop
Level of Familiarity: Basic to Moderate
Approximately 30% of women and 15% of men experience childhood sexual abuse. Twenty percent of all children experience physical abuse. And 20% of women experience an assault during their adult years. Whatever your patients are presenting with—OCD, depression, GAD, panic—there is a good chance that a large percentage has a history of some trauma. Even if you don't want to be "a trauma person," you need to know how to ask about it, and how to think about it when your patient tells you about their #MeToo moment.
Together we will learn some specific clinical skills from Dr. Marylene Cloitre's STAIR/NST protocol, a treatment approach that is being used in the U.S. Veteran's Administration and has been shown to be effective in treating PTSD, depression, and interpersonal functioning deficits. This approach can enhance your treatment practice and help you get past roadblocks caused by an undiagnosed PTSD or trauma history. Areas addressed will include how undiagnosed symptoms of PTSD can inhibit or complicate treatment of other anxiety disorders, how to use the interpersonal schema worksheet, assertiveness training, role plays to improve interpersonal functioning, and how to use a modified version of Exposure (e.g., NST) to address PTSD symptoms.
Recommended Reading: Cloitre M, Stovall-McClough KC, Nooner K, Zorbas P, Cherry S, Jackson CL, Gan W, Petkova, E. Treatment for PTSD related to Childhood Abuse: A Randomized Controlled Trial. American Journal of Psychiatry 2010; Vol. 167; 915-924.
Kristen Moeller-Saxone, Elise Davis, Donna E. Stewart, Natalia Diaz-Granados, Helen Herrman; Promoting resilience in adults with experience of intimate partner violence or child maltreatment: a narrative synthesis of evidence across settings, Journal of Public Health, Volume 37, Issue 1, 1 March 2015, Pages 125–137.
Cloitre M, Stolbach B, Herman JL, van der Kolk B, Pynoos R, Wang J, Petkova E. (2009) Child and adult cumulative trauma as predictors of symptom complexity. Journal of Traumatic Stress 2009; Vol. 22, 399-408.