Treating Complex Traumatic Stress Disorders In Children And Adolescents

With contributions from prominent experts, this pragmatic book takes a close look at the nature of complex psychological trauma in children and adolescents and the clinical challenges it presents. Each chapter shows how a complex trauma perspective can provide an invaluable unifying framework for case conceptualization, assessment, and intervention amidst the chaos and turmoil of these young patients' lives. A range of evidence-based and promising therapies are reviewed and illustrated with vivid case vignettes. The volume is grounded in clinical innovations and cutting-edge research on child and adolescent brain development, attachment, and emotion regulation, and discusses diagnostic criteria, including those from DSM-IV and DSM-5. See also Drs. Courtois and Ford's edited volume Treating Complex Traumatic Stress Disorders (Adults) and their authored volume, Treatment of Complex Trauma: A Sequenced, Relationship-Based Approach.

With contributions from prominent experts, this pragmatic book takes a close look at the nature of complex psychological trauma in children and adolescents and the clinical challenges it presents. Each chapter shows how a complex trauma perspective can provide an invaluable unifying framework for case conceptualization, assessment, and intervention amidst the chaos and turmoil of these young patients' lives. A range of evidence-based and promising therapies are reviewed and illustrated with vivid case vignettes. The volume is grounded in clinical innovations and cutting-edge research on child and adolescent brain development, attachment, and emotion regulation, and discusses diagnostic criteria, including those from DSM-IV and DSM-5. See also Drs. Courtois and Ford's edited volume Treating Complex Traumatic Stress Disorders (Adults) and their authored volume, Treatment of Complex Trauma: A Sequenced, Relationship-Based Approach.

Chronic childhood trauma, such as prolonged abuse or family violence, can severely disrupt a person's development, basic sense of self, and later relationships. Adults with this type of history often come to therapy with complex symptoms that go beyond existing criteria for posttraumatic stress disorder (PTSD). This important book brings together prominent authorities to present the latest thinking on complex traumatic stress disorders and provide practical guidelines for conceptualization and treatment. Evidence-based assessment procedures are detailed, and innovative individual, couple, family, and group therapies are described and illustrated with case vignettes and session transcripts.

The research base on complex psychological trauma has grown significantly in recent years. Yet even with the development of more effective techniques for treating complex trauma survivors, therapists often struggle to build strong relationships with these severely distressed clients. In this guide, the authors present an approach for helping adult clients move through the three phases of posttraumatic recovery -- and for managing the inevitable roadblocks and relationship issues that occur. The introductory chapters explore how complex trauma emerges from chronic victimization and the disruption of attachment bonds in childhood or adulthood and review diagnostic considerations. Two extended case examples highlight clinical issues that arise with this population and, running throughout the chapters, show how to use a secure therapeutic alliance as a foundation for utilizing evidence-based treatment strategies. The authors demonstrate ways to weave together elements of cognitive-behavioral, psychodynamic, relational, and systemic therapies, along with other proven approaches, in the service of working toward clearly defined therapeutic goals. In Phase 1, the emphasis is basic safety and personal stabilization. Phases 2 and 3 address trauma processing and the challenges of creating a new, more satisfying life. Strategies for tailoring interventions to each individual's needs and strengths, aided by ongoing assessment, are detailed. Applications in group, couple, and family therapy are also discussed.

Attachment-Focused Trauma Treatment for Children and Adolescents brings together two powerful treatment directions that exponentially expand the knowledge and skills available to child and adolescent trauma therapists. The book provides theoretical knowledge, clinical approaches, and specific, detailed techniques that clinicians will find indispensable in the treatment of the most challenging and high-risk young trauma victims. Also included are case studies, developed from over three decades of experience, that show the reader how to use the techniques in real-life settings. The treatment approach described here is flexible enough to adapt to real clients in the real world, regardless of trauma and attachment histories, family and living situations, or difficulties engaging in supportive therapeutic relationships. Clear and cohesive, the model presented here allows room for the individuality and approach of each therapist so that the therapeutic relationship can evolve in a genuine and unique way. An appendix of photocopiable worksheets gives interactive tools for therapists to immediately use with clients.

One of the few books on the treatment of psychological trauma in children that provides specific, in-depth individual, group, and family therapy interventions for complex psychological trauma, Treating Complex Trauma in Children and Their Families: An Integrative Approach focuses on the treatment of 6-12 year-old children and their relevant family members. Renowned authors Cheryl B. Lanktree and John N. Briere use their evidence-based, yet flexible treatment model, Integrative Treatment of Complex Trauma for Children (ITCT-C), as they address the use of play therapy, attachment processing, mindfulness, and other approaches, as well as interventions with family/caretaker and community systems. The authors emphasize a culturally sensitive, destigmatizing, and empowering perspective that supports both recovery and posttraumatic growth. Clinical examples and specific tools illustrate how assessment is used to guide individualized and developmentally-appropriate interventions.

Tens of thousands of clinicians have used this book--now revised and expanded with 50% new material--to plan and organize effective interventions for children and adolescents who have experienced complex trauma. The Attachment, Regulation, and Competency (ARC) framework can be used with children, parents, and other caregivers in a wide range of settings. The volume guides the clinician to identify key treatment goals and intervene flexibly to strengthen child-caregiver relationships and support healthy development and positive functioning. In a large-size format with lay-flat binding for easy photocopying, it is packed with case vignettes and clinical tools, including 79 reproducible handouts and forms. Purchasers get access to a Web page where they can download and print the reproducible materials.