Info about Treatment

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Kizzie

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Info about Treatment
« on: October 12, 2014, 01:42:30 AM »
Cloitre, M., Courtois, C., Ford, J. Green, B., Alexander, P., Briere, J., Herman, J. Lanius, R., Pearlman, L., Stolbach, B., Spinazzola, J. & van der Hart, O. (2012). ISTSS Expert Consensus Treatment Guidelines for Complex PTSD in Adults. Journal of Traumatic Stress, 24 (6),

Cloitre, M., Courtois, C., Ford, J. Green, B., Alexander, P., Briere, J., Herman, J. Lanius, R., Pearlman, L., Stolbach, B., Spinazzola, J. & van der Hart, O. (2012). ISTSS Expert Consensus Treatment Guidelines for Complex PTSD in Adults. International Society for Traumatic Stress Studies.

Cloitre, M., Courtois, C., Charuvastra, A., Carapezza, R., Stolbach, B. & Green, B. (2011). Treatment of Complex PTSD: Results of the ISTSS expert clinician survey on best practices. Journal of Traumatic Stress, 24 (6)

Kezelman, C. & Stavropoulos, P. (2019). Practice Guidelines for Clinical Treatment of Complex Trauma, Australia: Blue Knot Foundation

Kezelman, C. & Stavropoulos, P. (2012). Practice Guidelines for Treatment of Complex Trauma and Trauma Informed Care and Service Delivery, Australia: Blue Knot Foundation
« Last Edit: March 13, 2020, 06:31:39 PM by Kizzie »

Re: Treatment of Complex PTSD: Results of the ISTSS Expert Clinician Survey
« Reply #1 on: October 12, 2014, 07:32:26 AM »
So the International Society for Traumatic Stress Studies Complex Trauma Task Force did a survey, asking experts how best to treat CPTSD. They asked 25 CPTSD experts and 25 PTSD experts. Then they looked if there was something those experts agreed on. And there was.

84% of experts say that treatment needs to have several stages. Specific symptom sets must also be addressed, using methods such as emotion regulation strategies, narration of trauma memory, cognitive restructuring, anxiety and stress management, and interpersonal skills. Later on, meditation and mindfulness proved helpful in dealing with emotional, attentional, and behavioral (e.g., aggression) disturbances.

The experts couldn't agree on when clients can reasonably expect what kind of improvement, or on how long treatment is to last. We need more research on what's better for what kind of client with what kind of symptoms: traditional trauma-focused therapies or sequenced multicomponent approaches. To let us find out more about the speed and durability of treatment effects, experts could monitor their clients' symptoms during the course of treatment and during extended follow-up.
« Last Edit: March 14, 2019, 08:42:10 PM by Kizzie »

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Nuttzz

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Re: Treatment of Complex PTSD: Results of the ISTSS Expert Clinician Survey
« Reply #2 on: November 24, 2014, 11:56:44 AM »
Thx for posting that research. For so long I have been searching for answers. I was initially diagnosed with Gad and depression and later with PTSD though I feel that the cptsd fits me better - my counsellor doesn't seem to like to use that terminology and is directing her treatment mostly for gad. I almost felt wrong bringing up the cptsd with her but felt that once we knew what the problem was we could then work towards fixing it. Now it's good to see that a more tailored approach to cptsd is suggested. Thx

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Rain

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Re: Treatment of Complex PTSD: Results of the ISTSS Expert Clinician Survey
« Reply #3 on: November 24, 2014, 12:25:52 PM »
Hi Nutzz, welcome to the forum.   Please do post an Introduction so we can get to know you.   :yes:

And, thanks Kizzie for the research link!

Also thank you, Cat, for the splendid summary (you sooooo have a book in you ...at some point)

Often, I think about the combinations of therapy, and I ponder the list of things a parent does in child development.   Isn't that a wide range of things taught also, all at the same time?

Proper parenting for the dear little child includes:
How to think.   How to manage emotions.   How to manage ones stress.   How to safely release anxiety.   How to feel validated.   How to feel cared for.   How to interact with others.   And, so on.

With CPTSD, we did not get proper parenting, so now in therapy these days, it seems we are learning the advanced version of the list above.   What we missed out on.

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Whobuddy

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Re: Treatment of Complex PTSD: Results of the ISTSS Expert Clinician Survey
« Reply #4 on: November 24, 2014, 12:57:11 PM »

Proper parenting for the dear little child includes:
How to think.   How to manage emotions.   How to manage ones stress.   How to safely release anxiety.   How to feel validated.   How to feel cared for.   How to interact with others.   And, so on.


Love this list!

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Kizzie

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Re: Info about Treatment
« Reply #5 on: October 03, 2019, 04:57:27 PM »
Finally, primary care physicans are beginning to ask about a history of trauma -  ACEs (Adverse Childhood Experiences): One Family Physician’s Experience by By Dr. Tahmeena Ali, August, 2019. Here's a short excerpt:

Now, I ask all patients: young and old; new to my practice and established for years; male, female or trans, to complete an ACEs questionnaire in my clinic.  I compliment all my patients with any ACE score on their resilience and ask how I can support them. I acknowledge the pain they endured and educate them on how that early trauma can affect their biology and how it might be effecting their health now.

Awesome  :thumbup:

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Kizzie

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Re: Info about Treatment
« Reply #6 on: June 08, 2020, 12:04:13 AM »
Research about assessment and treatment of relational trauma/CPTSD:

Ashfield, E., Chan, C., & Lee, D. (2020). Building 'a compassionate armour': The journey to develop strength and self-compassion in a group treatment for complex post-traumatic stress disorder. Psychology and psychotherapy. https://doi.org/10.1111/papt.12275

Bisson, J., Berliner, L., Cloitre, M., Forbes, D., Jensen, T., Lewis, C., Monson, C., Olff, M., Pilling, S., Riggs, D., Roberts, N., & Shapiro, F. (2019). The International Society for Traumatic Stress Studies new guidelines for the prevention and treatment of posttraumatic stress disorder: Methodology and development process. Journal of Traumatic Stress, 32(4), 475–483. https://doi.org/10.1002/jts.22421

Briere, J., & Lanktree, C. (2011). Treating complex trauma in adolescents and young adults. Los Angeles: Sage Publications.

Briere, J., & Scott, C. (2014). Principles of trauma therapy: A guide to symptoms, evaluation, and treatment (2nd ed.).  Los Angeles: Sage Publications.

Chu J. (2011). Rebuilding shattered lives: Treating Complex PTSD and dissociative disorders (2nd ed.). Hoboken: John Wiley & Sons.

Classen, C., Muller, R., Field, N., Clark, C., & Stern, E. (2017). A naturalistic study of a brief treatment program for survivors of complex trauma. Journal of Trauma & Dissociation, 18(5), 720–734. https://doi.org/10.1080/15299732.2017.1289492

Cloitre, M. (2015). The ‘‘one size fits all’’ approach to trauma treatment: Should we be satisfied? European Journal of Psychotraumatology, 6. https://doi.org/10.3402/ejpt.v6.27344   

Cloitre M. (2016). Commentary on De Jongh et al. (2016) Critique of ISTSS Complex PTSD Guidelines: Finding the way forward. Depression and Anxiety, 33(5), 355–356. https://doi.org/10.1002/da.22493 

Cloitre, M., Cohen, L., Ortigo, K., Jackson, C., & Koenen, C. (2020). Treating survivors of childhood abuse and interpersonal trauma: STAIR narrative therapy (2nd ed.). New York: Guilford Press.

Cloitre, M., Courtois, C., Charuvastra, A., Carapezza, R., Stolbach, B., & Green B. (2011). ISTSS expert consensus treatment guidelines for Complex PTSD in adults. Journal of Traumatic Stress 24(6), 615-627. https://doi:10.1002/jts.20697

Courtois, C. (2004). Complex trauma, complex reactions: Assessment and treatment. Psychotherapy: Theory, Research, Practice, Training, 41(4), 412-425. https://doi.org/10.1037/0033-3204.41.4.412

Dagan, Y. (2020). Cannabis and Complex Posttraumatic Stress Disorder: A narrative review with considerations of benefits and harms. The Journal of Nervous and Mental Disease. https://doi:10.1097/NMD.0000000000001172 

Danylchuk, L., & Connors, K. (2017). Treating complex trauma and dissociation. New York: Routledge.

De Jongh, A., Resick, P., Zoellner, L., van Minnen, A., Lee, C., Monson, C., Foa, E., Wheeler, K., Broeke, E. , Feeny, N., Rauch, S., Chard, K., Mueser, K., Sloan, D., van der Gaag, M., Rothbaum, B., Neuner, F., de Roos, C., Hehenkamp, L., . . . Bicanic, I. A. E. (2016). Critical analysis of the current treatment guidelines for Complex PTSD in adults. Depression and Anxiety, 33(5), 359–369. https://doi.org/10.1002/da.22469

Dorahy, M., Corry, M., Shannon, M., Macsherry, A., Hamilton, G., McRobert, G., Elder, R., & Hanna, D. (2009). Complex PTSD, interpersonal trauma and relational consequences: Findings from a treatment-receiving Northern Irish sample. Journal of Affective Disorders, 112(1-3), 71–80. https://doi.org/10.1016/j.jad.2008.04.003

Ford, J. (2015). Complex PTSD: Research directions for nosology/assessment, treatment, and public health. European Journal of Psychotraumatology, 6(1), 27584. https://doi.org/10.3402/ejpt.v6.27584

Ford, J., & Courtois, C. (Eds.) (2020). Treating complex traumatic stress disorders in children and adolescents: Scientific foundations and therapeutic models (2nd ed.). New York: Guilford Press.

Fyvie, C., Easton, P., Moreton, G., McKeever, J., & Karatzias, T. (2019). The Rivers Centre in Scotland: An attachment-based service model for people with Complex Post Traumatic Stress Disorder. Journal of Traumatic Stress, 32(6), 864- 869. https://doi.org/10.1002/jts.22458

Gómez, J., Lewis, J., Noll, L., Smidt, A., & Birrell, P. (2015) Shifting the focus: Nonpathologizing approaches to healing from betrayal trauma through an emphasis on relational care. Journal of Trauma & Dissociation, 17(2), 165-185. https://doi.org/10.1080/15299732.2016.1103104

Grossman, F., Spinazzola, J., Zucker, M., & Hopper, E. (2017). Treating adult survivors of childhood emotional abuse and neglect: A new framework. American Journal of Orthopsychiatry, 87(1), 86–93. https://doi.org/10.1037/ort0000225

Haselgruber, A., Sölva, K., & Lueger-Schuster, B. (2020). Validation of ICD-11 PTSD and complex PTSD in foster children using the International Trauma Questionnaire. Acta Psychiatrica Scandinavica, 141(1), 60–73. https://doi.org/10.1111/acps.13100

Heide, F., Mooren, T., & Kleber, R. (2016). Complex PTSD and phased treatment in refugees: A debate piece. European Journal of Psychotraumatology, 7(1), 28687. https://doi:10.3402/ejpt.v7.28687 

Herman, J., & Kallivayalil, D. (2019). Group trauma treatment in early recovery: Promoting safety and self-care. New York, The Guilford Press.

Ho, G., Karatzias, T., Cloitre, M., Chan, A., Bressington, D., Chien, W., Hyland, P., & Shevlin, M. (2019). Translation and validation of the Chinese ICD-11 International Trauma Questionnaire (ITQ) for the Assessment of Posttraumatic Stress Disorder (PTSD) and Complex PTSD (CPTSD). European Journal of Psychotraumatology, 10(1). https://doi:10.1080/20008198.2019.1608718

Hopper, E., Grossman, F., Spinazola, J., & Zucker, M. (2019). Treating adult survivors of childhood emotional abuse and neglect: Component-based psychotherapy. New York, The Guilford Press.

Jowett, S., Karatzias, T., Shevlin, M., & Albert, I. (2020). Differentiating symptom profiles of ICD-11 PTSD, complex PTSD, and borderline personality disorder: A latent class analysis in a multiply traumatized sample. Personality Disorders, 11(1), 36-45. https://doi:10.1037/per0000346   

Karatzias, T., & Cloitre, M. (2019). Treating adults with Complex Posttraumatic Stress Disorder using a modular approach to treatment: Rationale, evidence, and directions for future research. Journal of Traumatic Stress. https://doi:10.1002/jts.22457

Karatzias, T., Hyland, P., Bradley, A., Fyvie, C., Logan, K., Easton, P., Thomas, J., Philips, S., Bisson, J., Roberts, N., Cloitre, M., & Shevlin, M. (2018). Is self-compassion a worthwhile therapeutic target for ICD-11 Complex PTSD (CPTSD)? Behavioural and Cognitive Psychotherapy, 47(3), 257-269. https://doi:10.1017/s1352465818000577   

Karatzias, T., Murphy, P., Cloitre, M., Bisson, J., Roberts, N., Shevlin, M., Hyland, P., Maercker, A., Ben-Ezra, M., Coventry, P., Mason-Roberts, S., Bradley, A., & Hutton, P. (2019). Psychological interventions for ICD-11 Complex PTSD: Systematic review and meta-analysis. Psychological Medicine, 1-15. https://doi:10.1017/S0033291719000436   

Karatzias, T., Shevlin, M., Fyvie, C., Hyland, P., Efthymiadou, E., Wilson, D., Roberts, N., Bisson, J., Brewin., C. & Cloitre, M. (2017). Evidence of distinct profiles of Posttraumatic Stress Disorder (PTSD) and Complex Posttraumatic Stress Disorder (CPTSD) based on the new ICD-11 Trauma Questionnaire (ICD-TQ), Journal of Affective Disorders, 207, 181-187. https://doi.org/10.1016/j.jad.2016.09.032

Kezelman C., & Stavropoulos P. (2012) Practice Guidelines for Treatment of Complex Trauma and Trauma Informed Care and Service Delivery. Australia: Blue Knot Foundation. https://www.blueknot.org.au/resources/Publications/Practice-Guidelines/Download

Kezelman C., & Stavropoulos P. (2019) Practice Guidelines for Clinical Treatment of Complex Trauma. Australia: Blue Knot Foundation. https://www.blueknot.org.au/resources/Publications/Practice-Guidelines/Download

Kezelman C., & Stavropoulos P. (2019) Complementary Guidelines to Practice Guidelines for Clinical Treatment of Complex Trauma. Australia: Blue Knot Foundation. https://www.blueknot.org.au/resources/Publications/Practice-Guidelines/Download

 Kezelman C., Stavropoulos P. (2020) Practice Guidelines for Identifying and Treating Complex Trauma-Related Dissociation. Australia: Blue Knot Foundation. https://www.blueknot.org.au/resources/Publications/Practice-Guidelines/Download

Kezelman C. Stavropoulos P. (2020) Guidelines for Clinical Supervisors of Therapists who work with Complex Trauma and Dissociation.  Australia: Blue Knot Foundation. Retrieved from: https://www.blueknot.org.au/resources/Publications/Practice-Guidelines/Download

Kozlowska, W. (2019). A thematic analysis of practitioners' understanding of domestic abuse in terms of post‐traumatic stress disorder (PTSD) and complex‐PTSD (C‐PTSD). Counseling and Psychotherapy Research, 20(2), 357-367. https://doi.org/10.1002/capr.12272

Kumar, S., Brand, B., & Courtois, C. (2019). The need for trauma training: Clinicians' reactions to training on complex trauma. Psychological Trauma. https://doi:10.1037/tra0000515

Lanius, R., Vermetten, E., & Pain, C. (Eds.) (2010). The impact of early life trauma on health and disease: The hidden epidemic. New York: Cambridge University Press.

Litvin, J., Kaminski, P., & Riggs, S. (2017). The Complex Trauma Inventory: A self-report measure of posttraumatic stress disorder and complex posttraumatic stress disorder. Journal of Traumatic Stress, 30(6), 602–613. https://doi.org/10.1002/jts.22231

Mendelsohn, M., Herman, J., Schatzow, E., Coco, M., Kallivayalil., D., & Levitan, J. (2011). The trauma recovery group: A guide for practitioners. New York, The Guilford Press.

Mooren, T., & Stofsel, M. (2010). Diagnosing and treating complex trauma.  New York: Routledge.

Norcross, J., & Wampold, B. (2019). Relationships and responsiveness in the psychological treatment of trauma: The tragedy of the APA Clinical Practice Guideline. Psychotherapy Theory Research & Practice 56(3). https://doi:10.1037/pst0000228 

Ogden, P., Minton, K., & Pain, C. (2006). Trauma and the body: A sensorimotor approach to psychotherapy. New York: W. W. Norton & Company.

Sachser, C., Keller, F., & Goldbeck, L. (2017). Complex PTSD as proposed for ICD-11: Validation of a new disorder in children and adolescents and their response to Trauma-Focused Cognitive Behavioral Therapy. Journal of Child Psychology and Psychiatry, 58(2), 160–168. https://doi.org/10.1111/jcpp.12640

Schnyder, U., & Cloitre, M. (Eds.) (2015).  Evidence based treatments for trauma-related psychological disorders: A practical guide for clinicians. New York: Springer Publishing.

Schwartz, L., Corrigan, F., Hull, A., & Raju, R. (2017). The comprehensive resource model: Effective therapeutic techniques for the healing of complex trauma. London: Routledge.

Tarocchi, A., Aschieri, F., Fantini, F. & Smith, J. (2013). Therapeutic assessment of complex trauma: A single-case time-series study. Clinical Case Studies, 12(3), 228-245. https://doi.org/10.1177/1534650113479442

Thomaes, K., Dorrepaal, E., Draijer, N., de Ruiter, M., Elzinga, B., van Balkom, A., Smit, J., & Veltman, D. (2012). Treatment effects on insular and anterior cingulate cortex activation during classic and emotional Stroop interference in child abuse-related complex post-traumatic stress disorder. Psychological Medicine, 42(11), 2337–2349. https://doi.org/10.1017/S0033291712000499

Van der Hart, O., Nijenhuis, E., & Steele, K. (2006). The haunted self: Structural dissociation and the treatment of chronic traumatization. New York: W. W. Norton & Company.

van der Kolk, B. (2015). The body keeps the score: Brain, mind, and body in the healing of trauma. New York: Penguin Random House.

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Blueberry

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Re: Info about Treatment
« Reply #7 on: June 08, 2020, 07:34:40 PM »
Thanks for all these links, Kizzie! I've just checked this one out: Cloitre, M. (2015). The ‘‘one size fits all’’ approach to trauma treatment: Should we be satisfied? European Journal of Psychotraumatology, 6. https://doi.org/10.3402/ejpt.v6.27344   
An interesting, informative read. Though probably what most of us know instinctively already. It's good that researchers are seeing it.

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Kizzie

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Re: Info about Treatment
« Reply #8 on: June 09, 2020, 04:43:44 PM »
 :thumbup:  They're academic but it gives us (and others)  a good idea of what exactly researchers/clinicians are working on with respect to CPTSD.

All the bibliographies are posted on the web site here - https://www.outofthestorm.website/academic-articles.  It was great to see all the research but also a bit jaw dropping re how impactful relational trauma is.  What they say to me is that we really need much more in terms of treatment, services and support!   :yes: