Trauma Informed Guilt Reduction Therapy

Trauma Informed Guilt Reduction Therapy (TrIGR) provides mental health professionals with tools for assessing and treating guilt and shame resulting from trauma and moral injury. Guilt and shame are common features in many of the problems trauma survivors experience including posttraumatic stress disorder (PTSD), depression, substance use, and suicidality. This book presents Trauma Informed Guilt Reduction (TrIGR) Therapy, a brief, transdiagnostic psychotherapy designed to reduce guilt and shame. TrIGR offers flexibility in that it can be delivered as an individual or group treatment. Case examples demonstrate how TrIGR can be applied to a range of trauma types including physical assault, sexual abuse, childhood abuse, motor vehicle accidents, and to moral injury from combat and other military-related events. Conceptualization of trauma-related guilt and shame, assessment and treatment, and special applications are covered in-depth. Summarizes the empirical literature connecting guilt, shame, moral injury, and posttraumatic problems Guides therapists in assessing posttraumatic guilt, shame, moral injury, and related problems Provides a detailed look at a brief, transdiagnostic therapy shown to reduce guilt and shame related to trauma Describes how TrIGR can be delivered as an individual or group intervention Includes a comprehensive therapist manual and client workbook

This book provides scientifically proven strategies for reducing guilt and shame associated with trauma and adversity. Automatic reactions help us survive dangerous situations. Whether we are fighting to fend off an attacker, fleeing an explosion, or freezing to maintain attachment with an abusive parent upon whom we are dependent, our hard-wired reactions keep us safe during intensely stressful times. But these automatic responses can be followed by guilt and shame, which can linger long after the traumatic events, making us anxious, avoidant, overreactive, irritable, depressed, angry, or passive. And these symptoms, in turn, can lead to more guilt and shame, which lead to more problematic coping behaviors, in a continuing cycle. This book helps readers learn to transform their unhealthy guilt and shame by identifying and changing their ways of thinking and acting that may have been adaptive in a past situation but are now keeping them stuck in this unhealthy cycle. In particular, it focuses on five categories of thought that contribute to problematic guilt and shame and shows readers how to recognize and challenge these thoughts. Each chapter contains straightforward written exercises that guide readers through the transformation process, as well as relatable examples for illustration. Grounded in research-supported cognitive behavior therapy principles, this book will help readers break free from survival-based reactivity and regain control over their lives.

This book addresses mental health treatment for veterans and active military personnel. In addition to examining foundational practices in the sub-field, it contains specifically tailored content concerning the recent collapse of the United States (US) installed Afghanistan government. The book is conscious of the myriad of complex emotions that veterans who fought for the past twenty years may be experiencing. Organized into four parts, the book begins with the foundations of veteran and military mental health culture as patients transition from active duty to veteran status, understand the present stigma and barriers to care and reflect on their deployment experience. Part two delves into the specifics of the healthcare system in which military personnel find themselves at various points in their career, including deployment and returning home. Following this, chapters examine the critically unique conditions found in patients, such as sleep disorders, traumatic brain injury, homelessness, substance abuse, and sexual trauma. The book closes with discussions on veterans and their families that focus on the effects of deployment on a military person’s loved ones and their mental state upon returning home. Timely, socially conscious, and comprehensive, the Clinical Manual on Veteran and Military Mental Health is an invaluable resource for mental health professionals receiving new military personnel patients and who have seen a significant shift in their patients due to recent events.

Principles of Addiction Medicine, 7th ed is a fully reimagined resource, integrating the latest advancements and research in addiction treatment. Prepared for physicians in internal medicine, psychiatry, and nearly every medical specialty, the 7th edition is the most comprehensive publication in addiction medicine. It offers detailed information to help physicians navigate addiction treatment for all patients, not just those seeking treatment for SUDs. Published by the American Society of Addiction Medicine and edited by Shannon C. Miller, MD, Richard N. Rosenthal, MD, Sharon Levy, MD, Andrew J. Saxon, MD, Jeanette M. Tetrault, MD, and Sarah E. Wakeman, MD, this edition is a testament to the collective experience and wisdom of 350 medical, research, and public health experts in the field. The exhaustive content, now in vibrant full color, bridges science and medicine and offers new insights and advancements for evidence-based treatment of SUDs. This foundational textbook for medical students, residents, and addiction medicine/addiction psychiatry fellows, medical libraires and institution, also serves as a comprehensive reference for everyday clinical practice and policymaking. Physicians, mental health practitioners, NP, PAs, or public officials who need reference material to recognize and treat substance use disorders will find this an invaluable addition to their professional libraries.

This book presents the latest in neuroscience and resiliency research alongside the personal stories of military veterans to advocate for an empirically validated training protocol. In Bulletproofing the Psyche: Preventing Mental Health Problems in Our Military and Veterans editors Kate Hendricks Thomas and David L. Albright lead an interdisciplinary team of researchers, practitioners, and military veterans in calling for a new kind of training with a focus on "bulletproofing the psyche": psychological resiliency skills training. They combine research and storytelling to argue that somatic protocols, a training method long used in the treatment sector to rewire the brain after trauma and a proven, valid alternative to drug and talk therapy, should be applied to the prevention and training sectors. Contributors include leaders in the fields of trauma research, military social work, and veterans' health. Students and scholars in the fields of social work, military psychology, social psychology, health promotion, organizational development, and institutional organization will find the research relevant, while clinicians, counselors, and mental health care providers working with military-connected communities may find the discussion of trauma treatment and intervention model transformative for their practice.

A complete guide to an innovative, research-based brief treatment specifically developed for service members and veterans, this book combines clinical wisdom and in-depth knowledge of military culture. Adaptive disclosure is designed to help those struggling in the aftermath of traumatic war-zone experiences, including life threat, traumatic loss, and moral injury, the violation of closely held beliefs or codes. Detailed guidelines are provided for assessing clients and delivering individualized interventions that integrate emotion-focused experiential strategies with elements of cognitive-behavioral therapy (CBT). Reproducible handouts can be downloaded and printed in a convenient 8 1/2" x 11" size.