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Psychological Aspects of Trauma
Published in Ian Greaves, Keith Porter, Jeff Garner, Trauma Care Manual, 2021
Ian Greaves, Keith Porter, Jeff Garner
For PTSD, the National Institute for Health and Clinical Excellence (NICE) guidelines5 advocate trauma-focused cognitive behavioural therapy (tfCBT) or eye movement desensitization and reprocessing therapy (EMDR) as the first lines of therapy, provided by specialists. In terms of psychotropic medication, paroxetine and mirtazapine (for use by non-specialists) and amitriptyline and phenelzine (for use by mental health specialists) are recommended.
Trauma-informed Organizations, Leadership, Secondary Traumatic Stress and Supervision
Published in William Steele, Reducing Compassion Fatigue, Secondary Traumatic Stress and Burnout, 2019
What then constitutes trauma-informed care? Trauma-informed care refers to the practices provided, as well one’s approach to the intervention and/or interaction with clients. Recently I met with another group of professionals who, compared to others, did have a good knowledge base about trauma; however, when I asked the clinical staff if they could describe how they integrate self-regulation into their intervention sessions, other than recommending clients take yoga or try meditation and use breathing techniques, they could not. All clinical staff had been trained in Trauma Focused-Cognitive Behavioral Therapy (TF-CBT). No one was trained in treatments like Eye Movement Desensitization and Reprocessing (EMDR), Somatic Experiencing, Narrative Exposure Therapy or Neuro-counseling. There were no certified art therapist and only one licensed play therapist; both interventions play a critical role in the processing of trauma as do other expressive therapies (Malchiodi, 2011; Foa, Keane, Friedman, & Cohen, 2008; Gil, 2006). As no one intervention fits every individual, how can one say they deliver trauma-informed care when clients do not have a choice and clinicians are not collectively trained in various techniques so they too have choices to help clients when one method is not working? From my perspective this staff was not engaging the trauma-informed care principle of choice nor sensitive to the unique needs of trauma victims.
Migration and mental health
Published in Bernadette N. Kumar, Esperanza Diaz, Migrant Health, 2019
Eye movement desensitization and reprocessing (EMDR) (39) is a practice that helps some people process intrusive sensory memories into their narrative memory, with consequent decreases in anxiety. Its mechanism of action is poorly understood, but it is becoming a more widely available helpful technique.
Enhancing Connections between Clinicians and Research in Hypnosis Practice: Strategies for Practice and Training
Published in International Journal of Clinical and Experimental Hypnosis, 2023
Lindsey C. McKernan, Elizabeth G. Walsh
For a novice practitioner, competency development may include seeking ongoing consultation and supervision beyond introductory training to ensure responsible hypnosis practice. For example, all approved trainings in eye movement desensitization and reprocessing (EMDR) require the completion of 10 hours of consultation in the year following initial training to achieve competence (EMDR International Association, n.d.) While ASCH and SCEH have certification systems for practitioners, certification is not required for the practice of clinical hypnosis. Outside of these optional certification processes, no standard is set for competency development, meaning this standard is individually driven and informed by the ethical guidelines of a clinician’s discipline. Furthermore, there is no system for approving clinical hypnosis trainings the way that EMDR trainings are approved by EMDRIA (EMDR International Association), which acts as an accrediting body. With the rapid uptake of telemedicine in recent years, seeking consultation from advanced practitioners may prove more accessible. As well as practitioners new to hypnosis pursuing consultation individually, societies providing systems for online consultation and supervision could further increase consultation accessibility and uptake.
Interventions for addressing trauma among people with HIV: a narrative review
Published in AIDS Care, 2022
Hilary Goldhammer, Linda G. Marc, Nicole S. Chavis, Demetrios Psihopaidas, Massah Massaquoi, Sean Cahill, Erin Nortrup, Carol Dawson Rose, Janet Meyers, Kenneth H. Mayer, Stacy M. Cohen, Alex S. Keuroghlian
Previously published reviews have found a limited number of intervention studies demonstrating efficacy for improving trauma-related stress or HIV outcomes among people with HIV (Applebaum et al., 2015; LeGrand et al., 2015; McLean & Fitzgerald, 2016; Sales et al., 2016; Seedat, 2012). A large body of evidence, however, supports the efficacy of trauma-focused treatments in other populations (Watkins et al., 2018). Interventions include expressive writing, (Nyssen et al., 2016) prolonged exposure therapy (Powers et al., 2010), cognitive–behavioral therapy (Watkins et al., 2018), and cognitive-processing therapy (Asmundson et al., 2019). Eye movement desensitization and reprocessing (EMDR) (Novo Navarro et al., 2018) has also been recommended for treating PTSD, although its status as an evidence-based treatment is debated (Watkins et al., 2018).
EMDR in Telemental Health Counseling for Healthcare Workers Caring for COVID-19 Patients: A Pilot Study
Published in Issues in Mental Health Nursing, 2020
Cyril Tarquinio, Marie-Jo Brennstuhl, Jenny Ann Rydberg, Fanny Bassan, Lydia Peter, Camille Louise Tarquinio, Yann Auxéméry, Christine Rotonda, Pascale Tarquinio
Eye Movement Desensitization and Reprocessing (EMDR) therapy may present a valuable psychotherapy approach to stem the psychological and emotional consequences of these cumulative events experienced by healthcare workers (being confronted with many deaths and dying patients, having to perform repeated intrusive medical acts, announcing deaths to loved ones, the risk of being contaminated and of contaminating one’s loved ones, etc.). Since 1989, numerous publications have revealed EMDR’s effectiveness, most notably in the treatment of PTSD. EMDR therapy’s effectiveness in the treatment of PTSD has been clearly confirmed by several randomized controlled trials and meta-analyses (Bisson & Andrex, 2007; Bradley et al., 2005; Chen et al., 2014; Cuijpers et al., 2020; Lee & Cuijpers, 2013; Maxfield & Hyer, 2002; Seidler & Wagner, 2006; Van Etten & Taylor, 1998). While initially destined to treat individuals who have experienced traumatizing events, this approach has been developed further and applied to treat several psychopathological disorders, including anxiety and depressive disorders (Perlini et al., 2020; Valiente-Gomez et al., 2017).