Treatments

Question 1

What is the therapy structure of PTSD?

Answer 1

SIRST

Set goals - Session 1
Identify hotspots - 2
Reliving and updating - 3
Site visit - 4
Therapy blueprint as relapse intervention

Question 2

What is Ehlers et al. (2005) main goal to treat PTSD?

Answer 2

Modify excessively neg. appraisals of trauma and its effects

Minimise re-living of traumatic events through elaboratoin of the trauma memories and discrimination of triggers

Elimintate dysfunctional behvaiours and cognitive strategies

Question 3

How can we update trauma memories in PTSD?

Answer 3

Asks indviduals to confront trauma memories, specific situations, people, objects that trigger sympms

Imaginal - reliving event.

1. By describing it in present tense with eyes closed or written accounts.
2. Identify hotspots (greatest distress, creats nowness in memory) and neg. cognitive appraisals (careful ask the meaning of the ‘hot spot’)

Question 4

When updating trauma memories, what happens after imaginal?

Answer 4

Socratic questioning to generate alternative explanations of what happened - modifies the negative appraisals

Compelling alternative - actively integrated in trauma memory. Can be achieved through written account/ insert into subsequent imaginal reliving.

Verbal means sometimes not enough = get client to walk around if they thought they were paralysed

Imagery techniques (e.g visualising healing, if they thought they would be ugly can help) = less threatening appraisal