Treating Complex Trauma in Adolescents and Young Adults

John N. Briere, PhD, is Associate Professor of Psychiatry and Psychology at the Keck School of Medicine, University of Southern California, where he consults and teaches in the ER, burn unit, and inpatient psychiatry, and Center Director of the USC Adolescent Trauma Training Center’s National Child Traumatic Stress Network. A past president of the International Society for Traumatic Stress Studies, he is recipient of the Robert S. Laufer Memorial Award for Scientific Achievement from ISTSS, and the Award for Outstanding Contributions to the Science of Trauma Psychology from the American Psychological Association’s Division 56, and has been designated Highly Cited Researcher (Behavioral Sciences) by the Institute for Scientific Information. He is author of a number of books, articles, and psychological tests in the areas of trauma and interpersonal violence, and has a long-standing interest in the clinical applications of meditation, mindfulness, and compassion. His website is johnbriere.com. Cheryl B. Lanktree, Ph.D. is Project Director of the USC Adolescent Trauma Training Center, National Child Traumatic Stress Network, a Research Assistant Professor of Psychiatry at the University of Southern California, and a licensed clinical psychologist in private practice. The developer of Integrative Treatment of Complex Trauma (ITCT), she has published various articles, chapters, treatment manuals, and books on treating complex trauma in children and adolescents. Her website is cblanktree.com.

Acknowledgements
1. Introduction
Section I: Complex Trauma Outcomes and Assessment
2. Complex Trauma in Adolescence and Young Adulthood
3. Assessment
4. Completing and Using the Assessment-Treatment Flowchart for Adolescents (ATF-A)
Section II: Overview of Treatment
5. Central Aspects of ITCT-A
6. From Assessment to Intervention: The Problems-to-Components Grid (PCG)
7. Sequence and Session-Level Structure of ITCT-A
Section III: Treatment Components
8. Relationship Building and Support
9. Safety Interventions
10. Psychoeducation
11. Distress Reduction and Affect Regulation Training
12. Cognitive Processing
13. Trigger Identification and Intervention
14. Titrated Exposure
15. Relational Processing
16. Interventions for Identity Issues
17. Family Therapy
18. Interventions With Caretakers
19. Group Sessions
20. Three Case Examples
21. Treatment Outcome Results
22. Summary
References
Section IV: Appendices
Appendix I: Intitial Trauma Review- Adolescent Version (ITR-A)
Appendix II: ATF-A Assessment Locator
Appendix III: Assessment- Treatment Flowchart: Adolescent Version (ATF-A)
Appendix IV: Problems-to-Components Grid (PCG)
Appendix V: Written Homework About My Trauma
Appendix VI: What Triggers Me? (The Trigger Grid)
Appendix VII: Outlines for Two ITCT-A Therapy Groups