Trauma Practice

Anna B. Baranowsky; PhD, CPsyc; Traumatology Institute, Toronto, ON, Canada. J. Eric Gentry; PhD, LMHC;Forward-Facing Institute, Phoenix, AZ, USA.

Introduction to Trauma Practice: A Cognitive
Behavioral Somatic Therapy
The surprising act of arriving at 2023; Purpose of
This Book; Self-of-the-Therapist; Core Objectives;
Book Description
Phase 0: Foundations of the Trauma Practice Model
Preparation for the Therapist
Exposure in a Relaxed State - Reciprocal
Inhibition
Meaningful Human Care and Connection
The Evolution of PTSD Treatment and the "Active
Ingredients"
The Four Active Ingredients
1. Therapeutic Relationship and Positive
Expectancy
2. Relaxation and Self-Regulation
3. Exposure/Narrative and Reciprocal Inhibition
4. Cognitive Restructuring and Psychoeducation
The Main Therapeutic Approaches, Research, and
Guidelines
1. Behavioral Therapy
2. Cognitive Therapy
3. Cognitive-Behavioral Therapy
4. Cognitive-Behavioral Therapy Research
5. Psychophysiology of Trauma
The Mind-Body Connection
The Amygdala; The Hippocampus; The Sensory
Thalamus; The Sympathetic Nervous System;
Cortisol: The Stress Hormone
Traumagenesis: The Creation of Trauma
The Biology of Traumagenesis
Symptoms of Traumagenesis: Where Do Problematic
Behaviors Come From?
Traumagenesis and Relationships
Tri-Phasic Model
Phase I: Safety and Stabilization
Phase II: Working Through Trauma
Phase III: Reconnection
Necessary Ingredients: Treatment Codes (R, RE, CR)
Somatic, Cognition, Behavior, and Emotion/Relation
Posttrauma Response
Treatment Resistance or Failure: Addressed with
Integrative Approaches
Phase I: Safety and Stabilization
1. What Is Safety?
Minimum Criterion Required for Transition to
Phase II Treatment
30-Day Video Stabilization Program for Adjunctive
Online Trauma Therapy
2. Somatic
Creating a Nonanxious Presence; Titration Part I:
Trigger List Using Braking and Acceleration; Progressive
Relaxation; Autogenics; Diaphragmatic
Breathing; 3-6 Breathing; 5-4-3-2-1 Sensory
Grounding and Containment; Postural Grounding;
Anchoring Part I: Collapsing Anchors; Breathe 911;
Body Scan
3. Cognition
Anchoring Part II: Safety; Safe-Place Visualization;
Positive Self-Talk and Thought Replacement/
Transformation; Flashback Journal Buddha's Trick
4. Behavior
Rituals; Contract for Safety and Self-Care; Safety
Net Plan
5. Emotion/Relation
Transitional Objects; Support Systems; Drawing
Icon and Envelope (Emotional Containment);
Internal Vault (Emotional Containment); Positive
Hope Box; Make Peace with Your Sleep; Relaxed
Breathing Guided Meditation
Phase II: Working Through Trauma
1. Somatic
Titration Part II: Braking and Acceleration; Layering;
Comfort in One Part; Timed Reflection; Timeline
Approach; Biofeedback; Hands Over Heart
Space; Paced Breathing
2. Cognition
Downward Arrow Technique; Cognitive Continuum
Calculating True Danger; Looped Tape Scripting;
Cognitive Processing Therapy; Story-Book
Approach; Written Narrative Approach; Corrective
Messages from Old Storylines; Traumagram
Exercise
3. Behavior
Behavior Change Rehearsal Exercise; Skills Building
Methods; Imaginal and In Vivo Exposure (RE);
Stress Inoculation Training; Systematic Desensitization
(RE); IATP Narrative Exposure Therapy;
4. Emotion/Relation
Learning to Be Sad; Assertiveness Training; Thematic
Map and Release; Grounding Lightstream
Phase III: Reconnection
1. Somatic
Centering; Tame and Decode Bad Dreams; Going
Slow to Heal After Trauma; Shake to Release
2. Cognition
Exploring Your Cognitive Map; Victim Mythology;
Self-Compassion Reflection; Letter to Self; Wellness
Mind Map; Your Heart's Desire
3. Behavior
Self-Help and Self-Development; Picture Positive
4. Emotion/Relation
Memorials; Connections with Others; Codependency
Revolution
Integrative and Clinician Self-Care Models
Forward-Facing (R) Trauma Therapy
Introduction
Phase I: Education
Phase II: Intentionality
Phase III: Practice (Coaching and Desensitization)
Conclusion