When it comes to trauma-informed care, clinicians and researchers in the field today make a distinction between two types of clinical presentations, simple-PTSD (usually single incident, adult onset) and Complex-PTSD (usually chronic trauma and revictimization beginning in early childhood). Professor Judith Herman first coined the term C-PTSD in 1997 in her classic book "Trauma and Recovery". The symptoms that fall under C-PTSD are a combination of many other clinical diagnoses. In addition to PTSD, individuals in this category will present with symptoms of dissociation, borderline personality, depressive and bipolar, and severe substance use disorders.
There are many short-term treatment options that have been found to be effective for the treatment of Simple PTSD. Of those the The National Center for PTSD recognizes Prolonged Exposure (PE) and Cognitive Processing Therapy (CPT) to be the most effective. EMDR is another treatment that has been backed up by strong clinical research. Dr. Sara A. Hosn is trained in both CPT and PE and currently offers both treatments at her practice.
Dr. Judith Herman and other C-PTSD experts recommend a Multi-Phasic treatment approach for the treatment of this condition. Herman recommends a Tri-Phasic approach which moves patients through the following three stages:
1) Establishing safety and stability
2) Remembrance and Mourning
Herman's model has been widely utilized and studied in the field and has given rise to numerous Evidence-Based approaches for the treatment of this population (Courtois & Ford 2009, 2013; Cloitre, 2006; Mandelsohn et. al, 2011).
Early assessment and intervention could be critical to long-term healing and recovery. It is best that you be assessed by an expert psychiatrist or psychologist.
Findingthe appropriate trauma treatment can be a daunting task, particularly when you don't know the details about your options. To find the appropriate treatment one must start with seeking an expert consultation for assessment of symptoms. Please feel free to call my office today for a brief consultation. I would also be more than happy to meet with you for an initial assessment and we can discuss relevant treatment options after that.
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