Trauma and PTSD in counseling practice
Many feel trepidation about working with Trauma and PTSD in counseling practice. There are often a range of fears, concerns, or pre-existing beliefs that therapists might have about treating PTSD or working with those who have experienced trauma. For our first reflective assignment in this course, I would like you to think about and answer:
What are some of the beliefs you have about those who have experienced trauma or who have PTSD/Trauma and Stressor-Related Disorders and what fears do you have about working with or treating traumatized populations? Are there certain types of traumas you feel most uncomfortable/concerned about encountering or working with?
Next, what have you heard about how PTSD/trauma is treated, and what beliefs or concerns?
Beliefs and fears about working with trauma and PTSD
There are a number of beliefs and fears that therapists might have about working with trauma and PTSD. Some common beliefs include:
- People with trauma are dangerous.
- I won't be able to help people with trauma.
- I'll be retraumatized if I work with people with trauma.
- Trauma is too complex for me to understand.
- I don't have the skills to work with people with trauma.
- I'm not sure how to handle triggers.
- I'm worried about making things worse.
- I'm afraid of being overwhelmed by the client's emotions.
- I don't know how to support the client outside of sessions.
- I'm worried about my own mental health.
- Child sexual abuse
- Complex trauma (trauma that occurs over a period of time and/or involves multiple types of trauma)
- Violence and abuse
- War and torture
- Natural disasters
- Cognitive-behavioral therapy (CBT): CBT helps people to identify and change negative thoughts and behaviors that are associated with their trauma.
- Exposure therapy: Exposure therapy helps people to gradually confront their trauma in a safe and controlled environment.
- Eye movement desensitization and reprocessing (EMDR): EMDR is a type of therapy that uses eye movements and other stimuli to help people process their trauma.
- Therapy will be too painful or overwhelming.
- I'll never get better.
- I'm not strong enough to deal with my trauma.
- I'm not worthy of help.
- I'm a burden to my therapist.
- Create a safe and supportive environment for your clients.
- Be patient and understanding.
- Allow your clients to set the pace of their own recovery.
- Be prepared for setbacks.
- Take care of yourself.