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Occupational Therapy with individuals suffering from Complex Psychological Trauma. Geraldine Hamilton Clinical Specialist Occupational Therapist.

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Presentation on theme: "Occupational Therapy with individuals suffering from Complex Psychological Trauma. Geraldine Hamilton Clinical Specialist Occupational Therapist."— Presentation transcript:

1 Occupational Therapy with individuals suffering from Complex Psychological Trauma. Geraldine Hamilton Clinical Specialist Occupational Therapist

2 Complex PTSD Severity of complex PTSD symptoms (i.e., complex trauma symptoms) were related to: – Childhood abuse and neglect – Posttraumatic avoidance – Feeling emotionally disconnected from other people (complex problems impact on relationships) – Perceived psychological impact of troubles-related traumatic events

3 Trauma Events (e.g.,) Sectarian Murders Sectarian beatings/shootings Feud murders Paramilitary attacks Death threat Intimidation Displacement Witness to Suicide Kidnapping, tortures State violence

4 Phase-oriented treatment Janet (1919/1925); Herman (1992); Van der Hart, Nijenhuis & Steele (2005) – Establishing Safety (Stabilisation & symptom reduction) – Remembrance and Mourning (memory/trauma work) – Reconnection (rehabilitation & reintegration) NB: Not linear progression; like a spiral

5 Phase 1: Stabilisation Establishing Safety – Therapeutic Alliance, stabilisation; symptom reduction Education, Affirmation, Normalisation Impact of Trauma on daily routine, ADL, symptom control for anxiety/depression, building coping strategies to assist alcohol/ drug reduction, goal setting, activity planning, impact on role in family, community, advocacy re: financial situation, housing, childcare etc

6 Phase 2: memory/trauma work Remembrance and Mourning/memory work – maintain stabilisation, – introduce physical activity – facilitate expression using creative activities – ongoing avoidance and safety behaviour interventions (graded exposure & motivational interviewing), – commence reintegration, – create new narrative

7 Phase 3: Habilitation/Rehab/reintegration Reconnection, rehabilitation, reintegration Assessing & focusing on strengths, interests, goals; building pathways to education; vocational/educational activities; work; hobbies; fostering & maintaining good knowledge of and relationships with services in community, support networks, leisure facilities; skills development (e.g., social skills, assertiveness skills), group work

8 SYMPTOM REDUCTION - FUNCTIONING Core – Functioning

9 Client: OT Only Input

10 Focus of treatment by discipline Past Present Future Psychological Therapy Physio- therapy Occupational Therapy


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