Leading the Way in Trauma Therapy

Jul 6, 2017, 8:42 PM

Like most people, I never set out to develop a new trauma treatment. It happened more or less by accident. I had long regarded eye movement desensitization and reprocessing (EMDR; Shapiro, 2001) as the trauma treatment of choice, because it is so effective, as well as being better tolerated and more efficient than the other leading brands (Greenwald et al, 2017). The problem with EMDR is that ...

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May 7, 2017, 3:10 PM

Is there a best child trauma therapy yet?

Trauma-focused cognitive-behavioral therapy (TF-CBT) appears to be the clear leader in that it has a ton of research support (Cohen, Mannarino, & Deblinger, 2017). Yet eye movement desensitization and reprocessing (EMDR) also has a fair bit of research support, and was more efficient than TF-CBT in two of the three direct comparisons.

One problem with i ...

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Aug 4, 2016, 3:30 PM

A slide in one of our training programs used to list prolonged exposure (PE) as “the gold standard” of trauma therapies, but then we took out the “g.” For two reasons. One is that eye movement desensitization and reprocessing (EMDR) has now surpassed PE, in acceptability to clients as well as efficiency (Greenwald et al, 2016). The other is that the gold standard trauma therapy should be usef ...

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Jun 15, 2016, 6:45 PM

It’s an old lament: They don’t like us, and we don’t like them. Practitioners and researchers, that is; us and them being whichever one you are, and aren’t, respectively. So why don’t we get along? We all care about the same things, don’t we?

Researchers complain that practitioners don’t read the research. “That’s not responsible!” they say. “They should be using what works, not just whatever ...

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Aug 31, 2015, 3:18 PM

We have a project looking for a home. We want to create a brief intensive trauma therapy diversion program for teens on their way into residential placement. The goal is to dramatically reduce time in residential placement, reduce costs accordingly, and improve outcomes. If it works – which it should – this can become a preferred alternative to typical longer-term residential care. Here are t ...

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Feb 26, 2015, 10:34 AM

Economic value is an important consideration in obtaining mental health care. Nobody wants to spend more than they have to, and that applies to individuals as well as grant funders, insurance companies, or government agencies. I’ve found that the idea of “getting it done” via intensive trauma therapy appeals to many people, but some wonder about the cost. Fortunately, economy and quality are ...

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Jul 31, 2014, 8:20 AM

What makes trauma treatment work? And what can make it work better? This is another in an irregular series of posts focusing on key elements of trauma treatment.

One of the early debates about eye movement desensitization and reprocessing (EMDR; Shapiro, 2001) was whether or not the eye movement component actually contributed to the treatment effect, or was just a gimmick. Despite the EMDR ori ...

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