Understanding Trauma
What are some examples of trauma?
-bullying -when a family member dies -car accident -hurricane/tornado -physical abuse -emotional abuse -sexual abuse -abusive relationships -domestic violence
What are the 3 common "f" responses to stress?
fight, flight or freeze
True of False- people impacted by trauma are prone to inaccurate or dysfunctional thoughts that impact their belief system
True
The following statement would be considered a cognitive distortion: I should be able to take the test without worrying so much.
Yes- it is a "should" statement and an unrealistic rule for oneself
In order to reframe a thought successfully, it is helpful to understand the type of distortion the thought it? True or false
true
True or False- The experience of a traumatic event results in a diagnosis of PTSD
False, residual symptoms that substantiate this diagnosis are required
Name 3 different relaxation techniques you can teach in session
mindfulness, progressive muscle relaxation, controlled breathing, mindfulness, visualization/guided imagery, art, yoga, journaling
What 3 things make up the Cognitive Triangle?
Thoughts-feelings-behaviors
When looking for pervasive, inaccurate thinking - what 2 words should you pay attention to?
never, always
What are 2 questions you could ask to challenge a distortion?
what evidence do you have?
what are other possible explanations?
what is the worst that could happen?
how bad would that be?
do you know what is going to happen in the future?
can you read someone else's mind?
does feeling something make it true?
Name 2 intrusive symptoms of PTSD
Intrusive symptoms include:
distressing memories, dreams, or reactions, flashbacks, dissociation, prolonged distress to cues, physiological reactions to cues
What are 3 different feelings identification techniques?
write it, play it, create it
False- often times the client believes these thoughts to be true
What type of a distortion type would the following statement be:
"Judy thinks I am a horrible person because I didn't answer when she called"
Mind reading
After reframing a thought, it is helpful to create a final statement about it. What is this statement called?
Name 3 PTSD symptoms that are in the category of arousal/reactivity
irritable behavior, anger outbursts, reckless/self destructive behaviors, hypervigilance, exaggerated startle response, problems with concentration, sleep issues
What emotion do children with trauma often confuse with anger?
fear
What are 2 essential techniques to utilize in response to negative automatic thoughts?
-examine the thoughts for evidence
-utilize thought stopping techniques
Provide an example of a distortion that would fall under the category emotional reasoning
Varied statements that support that because one believes/feels something it must be true
Reframe the following thought:
I can never go back to math class. My classmates think I am stupid because I did the problem wrong on the board in front of everyone.
varied answers
What are 2 assessments you can use to determine if a child has experienced a trauma and/or suffers from PTSD?
THS, CPSS, Trauma Symptom Checklist, UCLA, CATS
SUDS- subjective units of distress scale
Give an example of 3 different automatic thoughts that could occur when someone is getting ready for work in the morning:
varied responses
Provide an example of a distortion that would fall under the category predicting the future
Varied statements that support that rationalizing thy ones knows the outcome
2 parts
1. Identify 2 questions to challenge the thought. 2. Reframe the thought.
"Joe hates me because I didn't stop the other team's winning goal in the game?"
Varied answers