Leading the Way in Trauma Therapy

Mar 5, 2014, 12:18 PM

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

A person’s trauma history can take up so much of the visual field that her primary sense of identity may be as a trauma victim or survivor. After healing has occurred, she’ll typically say something like, “Okay, it’s too bad [the tr ...

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Feb 5, 2014, 3:52 PM

Have you wanted EMDR training but it was too expensive? If so, you’re not the only one. When I ask this question at trauma workshops, nearly every therapist who has not been trained in EMDR says they wish they were, but for the cost.

At present, eye movement desensitization and reprocessing (EMDR) is the most effective and efficient of the well-established trauma treatments (Ho & Lee, 2012 ...

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Jan 5, 2014, 8:28 PM

Maybe there’s no nice way to say this, but I’ll give it a try.

First of all, I’m not trying to put anyone down. Someone wants to tell their story, more power to them. But (you knew there was a but coming, right?) I just wish some of the stories went farther.

A famous person – from sports, politics, pop culture – discloses having been abused. This is good, it models disclosure, puts the shame on ...

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Dec 2, 2013, 11:20 AM

The last blog post focused on the value of the intensive treatment format. The main point was that if the client comes to solve a problem, why not just get it done, instead of dragging therapy out for months? The post led to much back-channel discussion, continued here. (And this time please just post your comments below, OK? Makes for a better discussion. Thanks.)

There are some situations in ...

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Nov 4, 2013, 1:40 PM

Why is therapy for an hour per week? Probably because:

  • You can fit it into a weekly routine.
  • Each session’s work can interact with the client’s life for incremental benefit.
  • This is what the insurance companies will pay for.

The fact that a convention exists for good reasons does not mean that it’s still the best way to do it today. The custom of the weekly therapy hour should be reconsider ...

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Oct 5, 2013, 7:39 PM

Since developing Progressive Counting (PC) in 2007, I’ve been teaching it quite a bit, often to therapists who are already trained in other trauma resolution methods. I enjoy the reactions: typically surprise and excitement for how well PC seems to work, how quickly, and how smoothly, relative to other trauma treatments. I’ve also heard two typical objections that I find curious:

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Sep 4, 2013, 7:36 AM

Much has been made of the importance of non-specific factors (such as empathy, therapeutic alliance, etc.) to therapy outcome, and rightly so: therapists who use the common factors get better outcomes (Duncan, Miller, Wampold, & Hubble, 2010). However, that does not mean that only the common factors matter. For example, it’s well established that the trauma-specific treatments actually do tre ...

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Aug 6, 2013, 5:58 AM

When I call therapists in other locations to check them out for a referral, I briefly describe the case and ask what their approach would be. Quite a number of these therapists have said something like, “I mainly focus on the relationship, since that’s where the healing comes from.” In a recent survey I saw a number of similar comments. One question focused on choice of technique in a particu ...

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Jul 9, 2013, 8:22 PM

Hi. Ricky Greenwald here, founder and director of Trauma Institute & Child Trauma Institute, and this blog’s author. Welcome to our new/revised web sites, not to mention this new blog, first post. A chance to share thoughts and information about some of our own activities, as well as what’s going on in “our” world: trauma, loss, and healing. My intention is to post something new every month o ...

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