Handouts & questionnaires for posttraumatic stress disorder (PTSD) - second post
Last updated on 20th January 2009
I posted half a dozen assessment questionnaires for PTSD and intrusive memories a week ago. Here are further handouts and information about intrusive memories, trauma, imagery and PTSD.
Flowcharts 1 & 2 (Ehlers & Clark) - here are a couple of Powerpoint slides that - although in colour - print out well in black & white. I particularly use the second of these slides as a handout when working to process traumatic memories. I use it to explain the why, what and how of the therapeutic approach we'll use. I think this orientation is especially important when working with traumatic memories, so that the client understands why they're being asked to re-connect to painful experiences they may well have been trying hard - and in Type I trauma, unsuccessfully - to forget.
PTSD diagnostic criteria page 1 & page 2 - these two handouts can be printed out as 2 slides to the page Powerpoint sheets. They give the full DSM-IV diagnostic criteria. They can be looked at with a client, if it seems appropriate, to discuss whether they are suffering from full or subsyndromal PTSD.
PTSD assessment & treatment - a useful aide-memoire to guide the therapy sequence for PTSD - put together from a seminar given by Ann Hackmann.
Understanding our reactions: self monitoring - this is an assessment form that can be used to self-monitor or to complete within a therapeutic session. It looks at experiences of strong emotional reactions and asks a series of questions that can clarify the source of the emotion (leading to ideas about appropriate responses).
Standard questionnaire and Shortened questionnaire for Smucker-style imagery rescripting. This more therapist-active style of trauma memory"rescripting"intervention may be particularly appropriate when the associated feelings involve emotions like shame, guilt or anger rather than just fear.
Memory, catharsis & health - I gave this 36 slide Powerpoint presentation back in 2004. It still has much that's currently relevant to these subjects (including some information on therapeutic writing).
Trauma memories in anxiety & depression - this is a 30 slide Powerpoint presentation I gave in late 2005. It can still be helpful in highlighting the commoness and probable therapeutic importance of trauma memories in many other conditions besides formal PTSD. Examples mentioned in the talk include depression, social anxiety disorder, agoraphobia & panic disorder, psychosis, OCD & BDD, and eating disorders. There is also some data on Smucker's work as well as the key contributions of Ehlers & Clark.
Smucker's work on trauma processing - here are a couple of slides illustrating points made by Mervyn Smucker at a conference in 2004 about the possible importance of more active rescripting of trauma memories associated with non-fear responses like anger, shame, guilt or mental defeat. I think the jury is still out on how necessary this active rescripting is, but it does make a welcome therapeutic change sometimes from the straightforward 'reliving' work.
Trauma & PTSD are very common page 1 & page 2 - here are four Powerpoint slides, that I usually print out as a double-sided handout with 2 slides per page. The slides highlight the commoness of PTSD - to an extent "normalizing" a client's experience.