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.
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).
Transform Trauma and PTSD Treatment Interventions actively work to decrease:
- Hypervigilance (a continued unsettling sense of danger)
- Intrusive thoughts, memories, nightmares and flashbacks
- Avoidance of specific thoughts, feelings, memories, situations, places and people.
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.
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.
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.
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.
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.
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.