Ethics & Scope
A counselor has completed one graduate trauma course. Which modality would still require additional specialized training before use? (covered in our class)
Which part of the brain is most associated with detecting danger?
Amygdala
What is the major finding of the original ACE study?
More ACEs are associated with greater health risk (dose-response relationship).
True or False: A child with emotional outbursts following chronic neglect likely meets ODD DX.
FALSE
Which treatment is organized using the PRACTICE components?
TF-CBT
Instead of asking, "what's wrong with you?" a Trauma-Informed Counselor would ask what?
Bruce Perry's sequence is: ______ --> ______ --> and _________.
Regulate --> Regulate --> Reason
Community ACEs expanded the original framework by recognizing what?
Systemic/community adversity (racism, neighbhood violence, foster care, etc.)
Which diagnosis is recognized in the ICD-11 but not DSM-5 TR?
Complex PTSD
Which treatment places the caregiver directly into structured therapeutic activities?
Theraplay
A client asks you to begin processing detailed trauma memories session 2 (after the intake), but you recognize you are outside your __________.
Competence
A client says, "I remember the feeling but can't remember the details." Is the MOST consistent with problems in implicit or explicit memory?
Implicit Memory
Who introduced the phrase "ghosts in the nursery"
Fraiberg
Why is an ACE score NOT considered a diagnosis?
It is a screening tool that informs clinical understanding. Not EVERYONE develops a PTSD diagnosis.
Which therapy believes there are "no bad parts"
IFS
Name TWO things an ethically practicing counselor WITHOUT specialized trauma training can still provide?
Grounding, Psychoeducation, Safety, Regulation, Stabilization, Therapeutic Relationship, or Referral.
Give one example of everyday (non-pathological) dissociation.
Highway hypnosis, daydreaming, becoming absorbed in a book, movie, game, phone.
True or False: Epigenetics changes your DNA sequence
FALSE
Give one diagnosis that trauma can sometimes be mistaken for?
ADHD, ODD, BPD, OCD, GAD, CD, BD, MDD
What is the primary purpose of bilateral stimulation in EMDR?
Facilitating adaptive reprocessing/integration of traumatic memories across hemispheres/activiating both sides of the brain
A counseling intern is encouraged by their supervisor to begin trauma processing, but they feel unprepared. What is the most ethical response?
Consult with supervisor, advocate for stabilization, and remain within scope.
During a session, client's eyes glaze over, speech slows, and they appear disconnected. What is your FIRST trauma-informed response?
slow down, ground, regulate, avoid pushing forward
Burke Harris argues that toxic stress affects much more than mental health alone. Name two body systems influenced by chronic toxic stress.
immune, cardiovascular, endocrine, nervous system.
A trauma-informed clinician first considers ______ before assuming pathology.
Context, adaptation, survival, protective mechanisms, neurobiology, brain impacts
with expressive arts/art therapy trauma-work, what are the thee R's: _______, ______, and ________.
rhythmic, repetitive, and routine