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What is trauma?
A deeply distressing event that overwhelms an individual's coping abilities. It can lead to feelings of fear, helplessness, or lasting sadness.
Name 3 of your strengths.
Ex. Creative, caring, loving, fun, direct, mediator, provider
True or False: Porcupines float on water.
Yes.
What does the "P" in PRAC stand for?
P: Psychoeducation
This will help you learn to understand facts and details about trauma, including how trauma effects the brain and body and how physical and emotional responses are normal responses to extreme stress.
Understanding Trauma: Learning Brain vs Survival Brain - YouTube
Name 1-3 people you consider natural supports.
1. 2. 3.
What is a coping skill?
Actions used to manage stress and regulate emotions during challenging situations
What is the job of the amygdala?
The amygdala is responsible for the fight or flight response.
What is something you enjoy doing with your family?
Ex. playing games, talking, going out to eat
What does the "R" in PRACTICE stand for?
R: Relaxation Techniques
Learning how to relax is an integral part of trauma healing. The therapist may spend some time reviewing relaxation techniques you use and find helpful.
-deep breathing, visual imagery, progressive muscle relaxation, meditation, prayer
What does the "I" in PRACTICE stand for?
I: In vivo exposure
In vivo exposure refers to gradually exposing the child to specific stimuli. Or to perceived threats. This stage might involve getting the child used to loud noises if they fear people shouting. Such exposure may be real or imagined through guided imagery. The goal is to learn how to tolerate situations that feel uncomfortable by practicing self?regulation skills. This phase entails developing a desensitization plan. Therapists may also engage and support people outside of therapy to help the child
How long does TF-CBT last?
TF-CBT is a short-term treatment. Most clients finish treatment within 12-16 weeks, although some may need up to 25 sessions. Therapists usually meet with their clients once per week for about an hour.
What is your love language?
-Words of Affirmation
-Acts of Service
-Receiving Gift
-Quality Time
-Physical Touch
-Words of Affirmation
-Acts of Service
-Receiving Gift
-Quality Time
-Physical Touch
What are symptoms of trauma?
Behavioral symptoms: Avoidance, maladaptive behaviors, sexualized behaviors, violent behaviors, bullying, angry outbursts/temper tantrums, substance abuse, self-injury
Affective Symptoms: Fear, sadness, anger, anxiety, affective dysregulation
Physiological Responses: Irritability, difficulties with concentration, sleep problems, angry outbursts, impulsivity, reckless behavior, nightmares
Cognitive symptoms: Irrational or erroneous beliefs, reduced trust, negative self-image, accurate but unhelpful cognitions (cognitive distortions)
A: Affective Expression and Regulation
Being able to identify current emotions. Self-soothing activities may include positive affirmations, pleasant activities, and reaching out for support
What does the second "C" in PRACTICE stand for?
C: Conjoint Sessions
This therapy emphasizes parent-child interaction and support. The caregiver does not need to be biologically related to the child. Therapists may work with foster parents, other relatives, group home staff, or teachers. Ideally, the child and caregiver come together to strengthen communication. They create moments for bonding. Sharing trauma may be suitable. But the conjoint sessions don’t have to include the entire narrative
What are your coping skills?
These are examples. There may be many more: Breathing, taking a walk, cooking, spending time with friends, art, listening to music, playing sports, exercising, eating
What is the fight, flight, freeze, fawn response?
(You get 100 points for every right answer)
(Youth): Do you recognize any of your behaviors/ thoughts/feelings as responses of trauma?
(Parents) Have you seen your child express symptoms of trauma? Does this explain some of your child's symptoms? Do you have more questions your therapist could support with?)
There are no wrong answers here!
What does the "C" in PRACTICE stand for?
C: Cognitive Coping and Processing This is the heart of CBT.
The therapist will teach the child and parent about the connection between thoughts, feelings, and behaviors. Then, they will show how some of the cognitive distortions impact healthy coping. These can include things like faulty thought patterns. The child will become more aware of their cognitive distortions. They start recognizing patterns they want to change. They might start feeling more confident in practicing new coping skills.
What does the "E" in PRACTICE stand for?
E: Enhancing Personal Safety and Future Growth.
This last phase focuses on educating children on specific safety and awareness skills. These include healthy relationships, sexuality, and self-esteem. Therapists will instruct families on how to prepare and cope with future triggers.
True or False: People can and should just "get over" their trauma.
False. Recovery is a process that takes time and support.
What are the 3 E's of Trauma?
-Event (external events that pose a harm or threat).
-Experience (how one interprets external events due to their own life perspectives)
-Effect (symptoms and disruptions to life functioning)
Is it okay to feel angry?
Yes! It is okay to feel all the feelings.
What is the "T" in PRACTICE?
T: Trauma Narrative
This part includes discussing, reviewing, and desensitizing oneself from traumatic events. Trauma processing may consist of any combination of verbal, written, or creative expression. During this stage, the therapist integrates gradual exposure activities. This means that they take time to slowly accustom the child to share about the trauma. This is while checking in to make sure they feel safe and comfortable. The child decides which events they want to include. Furthermore, they can also include positive events in their trauma narrative.
How can my parent help me when I am mad/sad/irritated?
What do you need?