Working with 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?

Sample Solution

   

Here are some of the beliefs that therapists might have about those who have experienced trauma or who have PTSD/Trauma and Stressor-Related Disorders:

  • People with PTSD/trauma are unstable or dangerous. This belief is often based on the misconception that people with PTSD are always on edge and prone to violent outbursts. However, the vast majority of people with PTSD are not dangerous to themselves or others.
  • People with PTSD/trauma are weak or broken. This belief can lead to therapists feeling sorry for their clients or seeing them as needy or helpless. However, it is important to remember that people with PTSD/trauma have survived incredible adversity. They are strong and resilient individuals who deserve respect and support.

Full Answer Section

   
  • People with PTSD/trauma are beyond help. This belief can lead to therapists feeling discouraged or hopeless about helping their clients. However, it is important to remember that PTSD/trauma is a treatable condition. With the right support, people with PTSD/trauma can recover and live fulfilling lives.
Here are some of the fears that therapists might have about working with or treating traumatized populations:
  • Fear of being triggered. Therapists may be afraid of being triggered by their clients' trauma stories. This is a valid concern, as therapists are human beings and can be affected by the stories they hear. However, there are a number of things that therapists can do to manage their own triggers, such as seeking supervision and taking care of their own mental health.
  • Fear of not being able to help. Therapists may be afraid of not being able to help their clients heal. This is also a valid concern, as PTSD/trauma is a complex condition. However, it is important to remember that therapists are not responsible for healing their clients. Their job is to provide a safe and supportive space where clients can explore their trauma and work towards healing.
  • Fear of being overwhelmed. Therapists may be afraid of being overwhelmed by the emotional intensity of working with traumatized populations. This is also a valid concern, as working with trauma can be emotionally draining. However, there are a number of things that therapists can do to prevent burnout, such as self-care and seeking support from other mental health professionals.
Here are some of the traumas that therapists might feel most uncomfortable/concerned about encountering or working with:
  • Childhood sexual abuse
  • Domestic violence
  • War trauma
  • Refugee trauma
  • Terrorism
  • Natural disasters
These traumas can be particularly difficult to work with because they are often complex, involve multiple types of abuse, and can have a profound impact on a person's life. However, it is important to remember that all trauma is valid and that all people who have experienced trauma deserve support. Here are some of the things that I have heard about how PTSD/trauma is treated:
  • PTSD/trauma is treated with therapy. There are a number of different types of therapy that can be effective for treating PTSD/trauma, including cognitive-behavioral therapy (CBT), exposure therapy, and eye movement desensitization and reprocessing (EMDR).
  • PTSD/trauma can also be treated with medication. There are a number of different medications that can be used to treat the symptoms of PTSD/trauma, such as antidepressants and antipsychotics.
  • PTSD/trauma is a lifelong condition. While PTSD/trauma can be a chronic condition, it is important to remember that it is treatable. With the right support, people with PTSD/trauma can recover and live fulfilling lives.
I believe that it is important to be honest about our fears and concerns about working with traumatized populations. This allows us to address them head-on and develop strategies for coping with them. It is also important to remember that we are not alone in working with trauma. There are a number of resources available to help us support our clients, such as supervision, training, and support groups.  

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