Trauma Focused Cognitive Behaviour Therapy
People can be severely impacted by
the trauma they face in their lives. The most vulnerable population is children
and adolescents and this can bring insecurity in them. When they are faced with ongoing
traumatic events like domestic violence or some other kind of sexual
abuse, they can lose their ability to trust people around them. People usually
try to forget the trauma by ignoring it as if that didn’t happen or by avoiding
the things and events which could make them have those memories back to the
present. But this strategy to deal with the problems will not help them.
Because they can make the condition worse as the trauma will show up in
the future in the form of anxiety, depression, nightmares, and PTSD. Even when these conditions do not
develop, scars will always be there in the form of low self-esteem, low
self-confidence, trust issues, etc., and with this, the treatment of trauma is
very important.
What is
Trauma-Focused Cognitive Behaviour Therapy?
A form of cognitive behavioral therapy called trauma-focused CBT helps trauma patients who are
struggling to recover from the negative impacts of traumatic previous
experiences. One of the best forms of treatment for trauma-based disorders,
particularly in adolescents and young children, is trauma-focused cognitive behavioural
therapy
(CBT). It was created specifically to help those between the ages of three and
eighteen. Numerous clinical trials have repeatedly demonstrated the
effectiveness of this relatively brief therapeutic model. The best online
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Trauma is characterized as an
emotional, psychological reaction to a highly upsetting or unpleasant
experience or incident. It can be compared to suffering from a disease or
injury, being in an accident, going through a divorce, or losing a loved one.
Traumatic events like torture or rape can also be extremely harmful. Even
though the majority of us have gone through some form of a traumatic event in our
lives, each of us is affected by it differently. The effects of the event
remain longer than usual for some people because they are unable to heal from
it. As a result, the person might continue to experience trauma symptoms until
they seek professional assistance.
Effect of
trauma on the brain
Someone's body and brain alter as a
result of trauma. The event's sensory details are stored in the brain, and the memories
may repeat. Many people have mood swings and disturbing or
unpleasant dreams as a result of this, which eventually pass with time.
However, many who have PTSD will discover that their symptoms get worse with
time and start to interfere with their daily lives.
The amygdala, which is located in
the limbic region of our brain, functions as a filter by examining the threat
to which our brain has already reacted and determining whether or not it
actually poses a threat. It provides access to the neocortex if there is no
genuine threat. The brain switches into what is known as "fight or flight
mode" when it detects a threat. After that, the body responds to the brain's
commands.
Benefits
of Trauma-Focused Cognitive Behaviour Therapy
Trauma-Focused CBT is based on the
belief that our actions and emotions are a direct result of our ideas, not
because of things that are outside of us, such as other individuals,
circumstances, or events. TF-CBT enables us to change and enhance our thoughts
and behaviors regardless of what is occurring elsewhere. Numerous advantages
of TF-CBT include:
- Recognizing
bad feelings and ideas
- Preventing
relapse in addiction
- Managing
grief and loss
- Controlling
anger
- Managing
persistent pain
- Combating
PTSD and recovering from trauma
- Dealing
with sleep difficulties
- Resolving issues in relationships
Treatment
of Trauma-Focused Cognitive Behaviour Therapy
Cognitive
Processing Therapy (CPT) focuses on a person's unrealistic and/or harmful views
about their traumatic event as well as how the trauma has affected their
beliefs about themselves, other people, and the world. Because thoughts can
trigger strong negative emotions like fear or blame, these thoughts may make
the memories or memories and flashbacks of the trauma highly uncomfortable
and distressing. The goal is to carefully identify and change any unrealistic
or harmful thoughts.
Common
Elements Treatment Approach (CETA): CETA targets post-traumatic
stress disorder (PTSD), anxiety, and/or depression symptoms in individuals who
have been influenced by traumatic situations. The objective is to select the
therapy components that correspond to the individual's unique symptoms and then
offer the treatment components that are effective for the unique symptoms that
are most harmful to the client. Sessions typically focus on one aspect of the
treatment at a time. Some parts can require more than one session. Depending on
how the treatment is progressing, the clinical target and treatment elements
may need to be changed. The individual can resume living a regular life once
the distressing symptoms are reduced.
Prolonged
exposure (PE): PE aims to reduce the strong unpleasant feelings brought on
by memories or reminders of the trauma. The two main unpleasant feelings
associated with memory are fear and shame. It is believed that facing trauma
memories or flashbacks in a structured way eventually causes the negative
feelings associated with the experiences to disappear. As a result, recalling
or being reminded of the trauma is no longer as painful. The individual can
lead a more normal life when the memories or reminders are not as painful and
do not need to be avoided.
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Contributed by: - Dr (Prof) R K Suri, Best Clinical Psychologist in
Delhi, NCR & Dr. Sakshi Kochhar, Psychologist
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