Pin on PsychologyYoung children who are exposed to traumatic events are at risk for developing posttraumatic stress disorder PTSD. While effective psychosocial treatments for childhood PTSD exist, novel interventions that are more accessible, efficient, and cost-effective are needed to improve access to evidence-based treatment. Stepped care models currently being developed for mental health conditions are based on a service delivery model designed to address barriers to treatment. This treatment development article describes how trauma-focused cognitive-behavioral therapy TF-CBT , a well-established evidence-based practice, was developed into a stepped care model for young children exposed to trauma. Considerations for developing the stepped care model for young children exposed to trauma, such as the type and number of steps, training of providers, entry point, inclusion of parents, treatment components, noncompliance, and a self-correcting monitoring system, are discussed.
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Complex PTSD can be experienced as a result of repeated childhood traumas. It is normal to experience stress after a trauma, but the symptoms normally diminish after several weeks. PTSD develops because the trauma experience was so distressing that we want to avoid any reminder of it. Our brains don't process the experience into a memory, so the experience stays as a current problem instead of becoming a memory of a past event. Each time we are reminded of the event, the 'flashbacks' mean we experience the trauma again, as though it is happening again, right now. That is very distressing, so we do our utmost to stop the flashback, and avoid any further reminder of the event, so the event remains un-processed. Cognitive Behaviour Therapy, and EMDR , helps our brain to process the traumatic event into a memory, filing it away in the appropriate filing cabinet of our mind, so that it becomes a past event, rather than constantly reliving the trauma as happening right now.
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