1 / 10

Occupational Therapy with individuals suffering from Complex Psychological Trauma .

Occupational Therapy with individuals suffering from Complex Psychological Trauma . Geraldine Hamilton Clinical Specialist Occupational Therapist. Complex PTSD. Severity of complex PTSD symptoms (i.e., complex trauma symptoms) were related to: Childhood abuse and neglect

russ
Download Presentation

Occupational Therapy with individuals suffering from Complex Psychological Trauma .

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Occupational Therapy with individuals suffering from Complex Psychological Trauma. Geraldine Hamilton Clinical Specialist Occupational Therapist

  2. Complex PTSD • Severity of complex PTSD symptoms (i.e., complex trauma symptoms) were related to: • Childhood abuse and neglect • Posttraumatic avoidance • Feeling emotionally disconnected from other people (complex problems impact on relationships) • Perceived psychological impact of troubles-related traumatic events

  3. Trauma Events (e.g.,) • Sectarian Murders • Sectarian beatings/shootings • Feud murders • Paramilitary attacks • Death threat • Intimidation • Displacement • Witness to Suicide • Kidnapping, tortures • State violence

  4. Phase-oriented treatment • Janet (1919/1925); Herman (1992); Van der Hart, Nijenhuis & Steele (2005) • Establishing Safety (Stabilisation & symptom reduction) • Remembrance and Mourning (memory/trauma work) • Reconnection (rehabilitation & reintegration) NB: Not linear progression; like ‘a spiral’

  5. Phase 1: Stabilisation • Establishing Safety – Therapeutic Alliance, stabilisation; symptom reduction Education, Affirmation, Normalisation • Impact of Trauma on daily routine, • ADL, • symptom control for anxiety/depression, • building coping strategies to assist alcohol/ drug reduction, • goal setting, • activity planning, • impact on role in family, community, • advocacy re: financial situation, housing, childcare etc

  6. Phase 2: memory/trauma work • Remembrance and Mourning/memory work • maintain stabilisation, • introduce physical activity • facilitate expression using creative activities • ongoing avoidance and safety behaviour interventions (graded exposure & motivational interviewing), • commence reintegration, • create new narrative

  7. Phase 3: Habilitation/Rehab/reintegration • Reconnection, rehabilitation, reintegration • Assessing & focusing on strengths, interests, goals; • building pathways to education; • vocational/educational activities; work; hobbies; • fostering & maintaining good knowledge of and relationships with services in community, support networks, leisure facilities; • skills development (e.g., social skills, assertiveness skills), group work

  8. Core – Functioning SYMPTOM REDUCTION - FUNCTIONING

  9. Client: OT Only Input

  10. Focus of treatment by discipline Past Present Future Psychological Therapy Physio-therapy Occupational Therapy

More Related