Trauma Informed Care

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. Eye Movement Desensitization and Reprocessing (EMDR) is another treatment that has been backed up by strong clinical research. Dr. Sara A. Hosn is extensively trained in all three approaches and offers all of them 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

3) Reconnection

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). 

• Stage 1 Treatment options at Dr. Sara A. Hosn's practice:

• ​​Comprehensive Dialectical Behavior therapy individual and Skills (6-12 months)
  
• ​Skills Training for Affective and Interpersonal Regulation (STAIR)- 4 Months 
  
• Stage 2 Standard PTSD treatment options with Dr. Sara A. Hosn
  
  • ​Cognitive Processing Therapy
  • Prolonged Exposure​
  • Acceptance and Commitment Therapy (ACT) for PTSD
  • EMDR

• What is Post Traumatic Stress Disorder (Simple PTSD)?
• What is Complex-Post Traumatic Stress disorder (C-PTSD)?
• What is DBT-PE?
• What is EMDR and how does it work?
• I (or a loved one) just went through a traumatic experience, how do I know if I need treatment?

​​​​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. 

• How do I know which Evidence-Based Treatment would be the better fit for me?

​​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.

• International Society of Traumatic Stress Studies
• International Society for the Study of Trauma and Dissociation
• The National Center for PTSD
• Cognitive Processing Therapy for PTSD
• DBT-PE Protocol

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