Introduction A client reports hearing voices, feeling disconnected from reality, or describing experiences that seem unusual or difficult to understand. Is the presentation dissociative, psychotic, trauma related, or some combination of these? This is an important...
Introduction You may have a team full of capable people who genuinely want to provide trauma informed care, yet still notice that clients receive very different experiences depending on which staff member they interact with. One clinician slows things down when a...
Introduction Avoidance can become one of the most persistent patterns following trauma. A client may avoid particular places, conversations, sensations, memories, relationships, or situations because approaching them produces intense fear or distress. This is one...
Introduction When a client understands that they are safe but their body continues to respond as though danger is present, insight alone may not be enough to change what happens in the room. Trauma can affect how a person responds to connection, conflict, uncertainty,...
Introduction Trauma does not always enter therapy as a clear memory or direct disclosure. Often, it appears through patterns in how a client relates to the therapist, how they respond to boundaries, what happens when they feel misunderstood, or how quickly they move...