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Papers on trauma focused cognitive behavioral therapy
Mental health of children introduction
Literature review for childhood trauma
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This study is a randomized clinical trial, which investigated the effectiveness of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) in the regular community settings by comparing “therapy as usual” (TAU) in Norway. In the abstract, the authors clearly introduced the topic, purposes and results of the study in terms of its importance in the literature. However, participants’ demographic information (except age), and used standardized instruments were not stated in the abstract. In fact, these are important elements for any research, because they give a clue about the study to the readers. The authors also reported that there are few randomized controlled trials- like this one- about TF-CBT conducted outside of the US, but neither in the abstract nor in the title they stated where …show more content…
Therefore, this section becomes highly informative especially for the readers who are not familiar with childhood trauma and the main treatment approaches. They can learn the effectiveness of this model, research laid the groundwork for it, and how it is being widely used in the US. However, this section is too general and can be considered as repetition for the professionals who already are familiar with the topic. The authors also did a decent job to explain how this study contributes to the literature besides being conducted outside of the US. For example, they collected the data in the community clinics in which the client population differs from the other mental health clinics to some extent. So they convinced the readers regarding the importance of the study. At the end of the section, the authors mentioned the purposes and hypothesis of the study. Nevertheless, they could have elucidated them better and clearer by supporting previous research findings. Especially their hypothesis should have been more
From the presentation, the most important thing I learned was that statistically, more than 60 percent of the population has experienced some sort of trauma and it could lead to substance use, depression and risky
Karmen is a 50-year-old married who told her psychiatrist that she was considering suicide through overdosing on Advil. She complains of severe back pain that has left her with a “poor mood”. She talked about the injury for a long period of time. When doctors did not validate her injury, she described feeling abandoned. Karmen had gained weight and was upset about that. She did not take making suicidal comments seriously and often just used them as a threat towards her husband. She craved the attention of the doctors, and was flirtatious with the person who interviewed her. Karmen’s husband said that she talked about suicide on a regular basis. Karmen became sexually active early in life and has always gone for older men.
Cohen, J. A., & Mannarino, A. P. (2008). Trauma-Focused Cognitive Behavioral Therapy for Children and Parents. Child & Adolescent Mental Health, 13(4), 158-162.
Ellis, B. H., Fogler, J., Hansen, S., Forbes, P., Navalta, C. P., & Saxe, G. (2012). Trauma systems therapy: 15-month outcomes and the importance of effecting environmental change. Psychological Trauma: Theory, Research, Practice, and Policy, 4(6), 624-630. doi:10.1037/a0025192
..., Indregard, T., Stormyren, S. D., & Wentzel-Larsen, T. (2014). A randomized effectiveness study comparing trauma-focused cognitive behavioral therapy with therapy as usual for youth. Journal of Clinical Child and Adolescent Psychology, 43(3), 356-369.
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is one of the most commonly utilized interventions for children (Cary & McMillen, 2011). TF-CBT is a highly structured intervention consisting of 90-minute weekly sessions. The clinician works with the client through eight competencies, including psychoeducation, relaxation, affective expression and regulation, cognitive coping, trauma narrative development and processing, gradual exposure, joint parent/child sessions, and enhancing future development (Cary & McMillen, 2011). TF-CBT has an extensive history and many variations. Clinicians utilize a number of other cognitive behavior treatments that have been adapted to meet the needs of traumatized children (Cary, & McMillen, 2012; Smith et al., 2007). While there are a number of cognitive behavior treatments, TF-CBT has received the highest classification rating for supported and effective treatment from many studies (Cary, & McMillen, 2012; Kauffman Best Practices Project, 2004).
Nadine Burke Harris is a former pediatrician who became the founder and CEO of The Youth of Wellness. She is also a Dr. at one of the best private hospitals in northern California, California Pacific Medical Center. Her goal is “to change the standard practice across demographics” (Burke Harris). When it comes to children it is important that we address the issue regardless. In Dr. Burkes’ TED talk she tells us that in the mid 90’s an exposure had been discovered by the CDC and Kaiser Permanente. This exposure in high doses, “it affects brain development, hormonal system, the immune system and even the way that our DNA is read and transcribed. The exposure has been discovered to be a dramatic increase in the risk for seven out of ten leading causes of death in the United States”(Burke Harris). Alternatively, when Dr. Harris opened a clinic in Bayview Hunters-Point; it is to be known as the poorest underserved neighborhoods in San Francisco. Before she opened
Trauma is an overwhelming experience that causes injury to a person's psychological state of mind. Complex trauma, on the other hand, is a term used by the National Child Traumatic Stress Network (NCTSN). In which an increased emphasis is placed on the impact of multiple traumatizing events that occur during child development stages. As well as an increase in sensitivity of those traumas involving close personal relationships, such as caregivers and siblings (Forkey 3). Children exposed to complex trauma suffer from detrimental short-term and long-term effects on every aspect of their child development. These effects significantly impact their overall "quality of life," specifically affecting areas of cognitive functioning, neurobiological
Developmental Trauma Disorder (DTD) was a proposed by Van der Kolk and D’Andrea (2010). The premise of DTD is based on research data of individuals involved in several research studies. According to Van der Kolk and D’Andrea (2010), DTD is the result of living in a fear-based environment which includes, poor treatment by primary caregivers, instability, and neglect. This type of inadequate treatment is often hidden, meaning it is may not be visible on the surface. Neglectful caregiver-infant relationships perpetuate DTD. These interactions relay the message to the infant or child that the world is not safe, is threatening, and is unreliable. This lack of emotional safety is often as damaging as lack of physical safety (Van der Kolk & d’Andrea,
Deblinger, McCleer, & Henry (1990) demonstrated that trauma focused CBT which included anxiety management components (e.g. coping skills training and joint work with parents) which children aged 3 to 16 were effective in reducing the symptoms of PTSD because the client was able to externalize their symptoms rather than keeping them inside. Components of CBT include psychoeducation, activity scheduling/reclaiming life, imaginal reliving (including writing and drawing techniques), cognitive restructuring followed by integration of restructuring into reliving, revisiting the site of the trauma, stimulus discrimination with respect to traumatic reminders, direct work with nightmares, image transformation techniques; behavioral experiments, and work with parents at all stages ( Yule, Smith, & Perrin,
Childhood Trauma is defined as “The experience of an event by a child that is emotionally painful or distressful, which often results in lasting mental and physical effects.” (The National Institute of Mental Health). Childhood trauma is an epidemic that seems to be running its way throughout the world. Childhood trauma is a worldwide problem that can affect anyone and everyone. People tend to just try and help the problems that occur due to the childhood trauma, but not the problem itself. Many of these issues will also follow the child into their adult years and will cause negative effects. This paper will discuss the negative outcomes for a child who suffers from childhood trauma, and the negative outcomes that can follow them into adulthood.
There are several domains that must be considered when treating a survivor of child abuse: the need for safety and trust, sense of belonging, protection from perceived or actual threats, facing the defendant in court, prevention of revictimization, and empowerment (Sawyer & Judd, 2012). Davis, 2005, states that “children terrorized through sexual abuse, neglect, physical abuse, or wartime atrocities may suffer from lasting wounds, nightmares, depression, and troubled adolescence involving substance abuse, binge eating, or aggression.” Victims of child abuse need to regain their sense of control over their lives. Experiencing healthy relationships, being nurtured by adults and helping them to learn resilience are all interventions that have been well-documented (Sawyer & Judd, 2...
How does childhood trauma affect health over a lifetime? To answer this question, let’s dive deeper into childhood trauma affects health across a lifetime and really try to dissect this complex question. The key points that will be discussed in this essay are: The Adverse Childhood Experiences Study, defining emotional trauma on a child, defining physical trauma on a child, and the role trauma plays in our relationships. Also, discussed in this essay is the effects of trauma on our mental and physical health.
The trauma-informed care philosophy emerged as a result of research that began to highlight the long-term consequences emerging in the lives of people due to trauma. This research can be found in studies like the Adverse Childhood Experiences (ACE) study, which pioneered an understanding of trauma’s lifelong influence on health and wellbeing. Medical doctors as early as 1985 began discovering that early life traumas were impacting their adult patients negatively, and started thinking more in depth about what that might mean throughout someone’s lifespan. Dr. Vincent Felitti and a representative from the Centers for Disease Control and Prevention (CDC), Dr. Robert Anda, developed this research and discovered that both physical and mental health
Just seconds ago it was reported on the channel 4 news that there was a school shooting by an 18-year-old male in Florida. The shooter reported so far killed 17 people and untold number that was injured. The reporter acknowledged that when something tragic happens to a person or they witness a horrific event such as an assault or a shooting it impacts that person. I, because of the ambush assault inflicted on me can testify how the mental trauma affects me. I am suffering from mental and physical trauma because of the September 13, 2017, assault. What Ms. Franco is doing is unconscionable and unbearable. I need to be allowed to heal and feel safe while performing my job before I return to work. The president of the United States of America