As knowledge about the neuroscience of trauma increases it is clear that a significant number of people have undiagnosed Trauma and Post Traumatic Stress Disorder (PTSD). Trauma symptoms include depression, anxiety, CPTSD (childhood trauma), addiction, abuse, anger, grief, bereavement, shame, low confidence, low self-esteem and stress.

Safe and effective trauma treatment, can only be delivered by a qualified traumatologist, trained in evidenced based trauma protocols.

No Trauma or PTSD treatment or intervention can take place until the client is safely stabilised and able to self-regulate when highly distressed. Some clients may have a good ability to safely stabilise from previous therapy, however for clients that have no previous therapy experience, the stabilisation process may take 10 – 30 sessions depending on the severity of symptoms. During the Trauma & PTSD treatment interventions some additional safety and stabilisation sessions may be added.

A variety of tools and techniques are taught in combination to clients depending on suitability and interests. These include Equine Facilitated Human Development (EFHD) that incorporate Trauma Focused Cognitive Behaviour (TF CBT), Mind Body Affect Stress Reduction (MBASR) and Eye Movement Desensitisation Reprocessing (EMDR).

The aim of all Transform Trauma and PTSD Treatment Interventions is to increase insights regarding both previously disturbing events and long held negative thoughts about the self.

Transform Trauma and PTSD Treatment Interventions actively work to decrease:

  1. Hypervigilance (a continued unsettling sense of danger)
  2. Intrusive thoughts, memories, nightmares and flashbacks
  3. Avoidance of specific thoughts, feelings, memories, situations, places and people.
Transform Trauma only use Trauma and PTSD treatment interventions that are recommended by NICE guidelines or which have undergone rigorous research through Randomised Control Trials (RCT). Clients with trauma symptoms often dysregulate and are at high risk to dissociative states that must only be treated by a professionally trained and qualified traumatologist.
IRRT is an imagery-based TF CBT treatment developed from Prolonged Exposure (PE) designed Smucker & Foa to alleviate Trauma and PTSD symptoms and modify trauma-related images, beliefs and schemas. It especially suits treating adults with complex childhood abuse and/or developmental trauma.

IRRT involves three phases i) re-living, ii) re-scripting, and iii) re-processing of the trauma memories.

Successful emotional and cognitive processing of the traumatic event may occur, allowing the individual’s response to the traumatic event to normalize. The IRRT intervention takes approximately 15 treatment sessions that last from 1 to 2 hours. All sessions are recorded by the client and listened to every day between treatments.

NET is a treatment for survivors of multiple and complex trauma. The NET builds on neuropsychological models of trauma and memory and the procedure is based on Testimony Therapy (developed Lira and Weinstein) in combination with cognitive behavioural exposure techniques. Witnesses to severe human rights violations are invited to testify their traumatic experiences.

In cooperation with the therapist they can restore their autobiographic memories about those experiences. In this way fragmentary memories are transformed into a coherent narrative structure: a testimony. This practice enables the processing of painful emotions and the construction of clear contingencies of dangerous and safe conditions, generally leading to significant emotional recovery. If the survivor agrees, the documents (testimonies) that result from this therapy can directly be used for prosecution of human rights violations or awareness raising purposes.

EMDR (Eye Movement Desensitization and Reprocessing) is a non-invasive evidence-based method of psychotherapy that facilitates Adaptive Information Processing (AIP) developed by Francine Shapiro, PhD. EMDR is an eight-phase treatment which comprehensively identifies and addresses experiences that have overwhelmed the brain’s natural resilience or coping capacity, and have thereby generated traumatic symptoms and/or harmful coping strategies. Through EMDR therapy, patients are able to reprocess traumatic information until it is no longer psychologically disruptive.
(for one of incident trauma only)

PE is a Trauma Focused Cognitive Behaviour Therapy treatment designed to treat PTSD developed by Rothbaum and Foa. It is characterized by re-experiencing the traumatic event through remembering it and engaging with, rather than avoiding reminders of the trauma (triggers) and often involves in vivo exposure; the repeated confrontation with situations and objects that cause distress but are not inherently dangerous. The PE intervention takes up to approximately 15 treatment sessions that last from 1 to 2 hours. All sessions are recorded by the client and listened to every day between treatments.

CPT was developed for trauma to related physical violence (notably war) either as a victim or perpetrator.  CPT provides a way to understand why recovery from traumatic events is difficult and how beliefs about the causes of the trauma exacerbate the symptoms of PTSD. The focus is on identifying how the traumatic experiences change thoughts and beliefs, and how these distorted beliefs influence current feelings and behaviors. An important part of the treatment is addressing ways of thinking that might keep individuals ‘stuck’ and get in the way of recovery from symptoms of PTSD and other problems. CPT has been shown to be one of the most effective treatments for war related PTSD.
NARM addresses relational and attachment trauma by working with early, unconscious patterns of disconnection that deeply affect our identity, emotions, physiology, behavior and relationships. Integrating a psychodynamic and body centered approach, NARM offers a comprehensive theoretical and clinical model for working with developmental trauma.

NARM draws on psychodynamic models such as attachment and object relations theory, and somatic and character structure approaches, in addressing the link between psychological issues and the body. Working relationally in the present moment, and within a context of interpersonal neurobiology, NARM offers a new approach of working relationally that is a resource-oriented, non-regressive, non-cathartic, and ultimately non-pathologizing model. Grounded in what NARM calls somatic mindfulness, NARM is influenced by a non-western orientation to the nature of the identity. Learning how to work simultaneously with these diverse elements represents a radical shift that has profound clinical implications for healing complex trauma and supporting personal and relational growth.

Because Trauma and PTSD have many complexities, in depth clinical assessment is needed in order to formulate the right treatment process based on the client’s differential diagnosis. Assessment can motivate and empower clients to get a clearer understanding of their trauma histories and issues, to prioritize recovery goals and to get proactive about tracking their progress.

Throughout all aspects of the trauma and PTSD treatment, assessments are conducted to monitor risk. Psychological education about trauma and PTSD, Safety and Regulation skills are taught as part of the Assessment process.

The initial assessment process takes between 4 – 8 hours and may include referral letters to other medical professionals if required. Assessment can be a stand-alone course of sessions. It can include work with the horses.

Once the trauma treatment starts 24-hour telephone support is available by signed agreement for a protocol led emergency support.

Sun Tui is the UK’s leading psychological consultant with specialism as a traumatologist who lectures and teaches the applications the IFEAL Methodology and its relevance to an Integrative approach for Treating Complex Trauma and PTSD.