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Category: Posttraumatic Stress Disorder

Trauma Treatment: Evidence-Based Approaches versus Intuituve Approaches

The negative outcomes of past intuitive treatment reinforced one of the most common and fundamental beliefs of PTSD: “I am incompetent.” The woman perceived through past experiences in and out of therapy that something within her was so broken that she was beyond help, leading to a cycle of hopelessness, suicidality, and treatment avoidance.

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PTSD as a Survival Mechanism

PTSD as a Survival Mechanism by Norman Cotterell, PhD Posttraumatic Stress Disorder (PTSD), as defined in the DSM-V, is characterized by 5 symptoms. The last four must last longer than a month and cause significant distress: Exposure to trauma: death or threat of death or injury.Intrusive symptoms: memories, flashbacks, psychological distress, physical distress.Avoidance: trying not to think about the trauma, avoiding places that remind you of it.Negative alterations in thought and mood: amnesia, negative beliefs,…
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Why Use Exposure for Post Traumatic Stress Disorder?

Why Use Exposure for Post Traumatic Stress Disorder? By Aaron Brinen, PsyD As practitioners, we care deeply for the individuals we serve. Working with them following a traumatic event often activates our desire to protect and care for our clients, particularly when a survivor presents with the disruptive symptoms of Post Traumatic Stress Disorder (PTSD). Some practitioners, though, become overly focused on the desire to prevent any hurt or distress.  Their treatment…
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Seven Steps for Anger

CBT for Anger By Norman Cotterell, PhD Anger is built on expectations. We expect people to treat us fairly and they don’t.  We expect children to respect the wishes of their elders and they don’t. We expect the government to have our needs at heart and it doesn’t. Each time there is a gap between expectation and reality, anger is more than willing to fill in that gap.  Each time someone…
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Catastrophic Thinking: A Transdiagnostic Process Across Psychiatric Disorders

Catastrophic Thinking: A Transdiagnostic Process Across Psychiatric Disorders Norman Cotterell, Ph.D.Beck Institute for Cognitive Behavior Therapy Beck and Gellatly (2016) propose that catastrophic thinking is a central feature in psychopathology. Such thinking magnifies both the immediate and eventual consequences of any perceived threat. A variety of disorders can be conceptualized as such: Clients magnify external threats (accidents, attacks, arson) but most notably misinterpret and magnify perceived internal threats. Sensations, thoughts,…
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