Circuits in the lower brain, responsible for: - ANSWERS-emotional reactions and
the defense system
With trauma-informed therapy, the client can: - ANSWERS-"unlearn" their body's
response to trauma, manage symptoms, process feelings, heal and recover
Brain-based approaches to help clients after trauma - ANSWERS-Top-down
approaches
Bottom-up approaches
Top-down approaches - ANSWERS--Encourage different ways of thinking, focus on
cognitive interventions
-Cognitive-Behavioral Therapy (CBT)
-Dialectical-Behavior Therapy (DBT)
-Mindfulness-based Cognitive Therapy (MBCT)
Bottom-up approaches - ANSWERS--Ways to cope with emotions and defenses
-Eye Movement Desensitization and Reprocessing (EMDR)
-Yoga
-Trauma Resiliency Model (TRM)
,memory reconsolidation techniques are good for the _________ - ANSWERS-
hippocampus
The Trauma Resiliency Model (TRM) - ANSWERS--bottom-up approach to
psychotherapy
-help pt process acute or cumulative trauma once they have learned preliminary
stabilization skills
-developed by Elaine Miller-Karas, Geneie Everett, and Laurie Leitch
• based on Peter Levine's work in Somatic Experiencing
Trauma Resiliency Model (TRM) Concepts - ANSWERS--psychoeducation
• therapist help pt understand nature of trauma & normal responses
• how parts of the brain & autonomic nervous system function
-key concept is the resilient zone (RZ)
• represents the optimal zone of arousal for a person in which there is a natural
flow of energy and vitality
• greatest capacity for balanced thinking, feeling & handling the ups & downs of
life in the RZ
-goal: help clients recognize sensations associated with the RZ so they can return
to the RZ when hyper- or hypo-aroused.
,Trauma Resiliency Model (TRM) Skills - ANSWERS-TRM uses a set of nine skills
-first six are stabilization skills, standalone self-care model called the Community
Resiliency Model (CRM)
• used throughout TRM therapy for self-care & emotional regulation
-three additional TRM components
• titration, pendulation, and completion of survival response
• potential for destabilizing the client
-CRM Skills
• Tracking
• Gesturing
• Titration
• Resourcing & Resource Intensification
• Help Now!
• Pendulation
• Grounding
• Shift and StaY
"What are you aware of now? Is this sensation pleasant, unpleasant, or neutral?"
What CRM skill?
• Tracking
, • Gesturing
• Titration
• Resourcing & Resource Intensification
• Help Now!
• Pendulation
• Grounding
• Shift and Stay - ANSWERS-Tracking
Rationale: Tracking skills help the client to pay attention to sensations, name
them, and distinguish sensations of distress from those of well-being.
"What is it about you that helped you get through that?"
What CRM skill?
• Tracking
• Gesturing
• Titration
• Resourcing & Resource Intensification
• Help Now!
• Pendulation
• Grounding
• Shift and Stay - ANSWERS-Resourcing and Resource Intensification
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