References
Bessel A. van der Kolk, M.D, Onno van der Hart, Ph.D. and Jennifer Burbridge, M.A. of the trauma clinic, Harvard Medical School, posit that…
“......... the goal of treatment is [to] find a way in which people can acknowledge the reality of what has happened without having to re-experience the trauma all over again. For this to occur, merely uncovering memories is not enough: they need to be modified and transformed, i.e. placed in their proper context and reconstructed into neutral or meaningful narratives."
Harmon, S. Cory, Lambert, Michael J., Smart, David M., Hawkins, Eric, Nielsen, Stevan L., Slade, Karstin and Lutz, Wolfgang(2007). Enhancing outcome for potential treatment failures: Therapist-client feedback and clinical support tools. Psychotherapy Research, 17: 4, 379 — 392
Lambert, M. J., Whipple, J. L., Hawkins, E. J., Vermeersch, D. A., Nielsen, S. L., & Smart, D. W. (2003). Is It Time for Clinicians to Routinely Track Patient Outcome? A Meta-Analysis. Clinical Psychology: Science and Practice, 10(3), 288-301.
Miller, S. D., Duncan, B. L., Sorrell, R., & Chalk, M. (2006). Using formal client fdeedback to improve outcome and retention: Making ongoing, real-time assessment feasible. Journal of Brief Therapy, 5, 5-22.
National Institute for Clinical Excellence. (2005). Post-traumatic stress disorder (PTSD): the management of PTSD in adults and children in primary and secondary care
Reese, R. J., Norsworthy, L. A., & Rowlands, S. R. (2009). Does a continuous feedback system improve psychotherapy outcome? Psychotherapy Theory, Rsearch, Practice, Training, 46(4), 418 - 431.
van der Kolk, B. A., van der Hart, O., & Burbridge, J. (1995). Approaches to the treatment of PTSD. Trauma Information Pages
Psychological Trauma
Post-traumatic stress disorder (PTSD)
.... Re-experiencing;
....
Hyperarousal;
.... Nightmares/flashbacks;
.... Avoidance of things associated with the event
Depression
Anxiety
Phobias
.....Driver, passenger, pedestrian, social etc
Intrusive negative thoughts
Loss of confidence
Panic attacks
Anger and irritability
Breakdown in partner/family relations
Stress
Sleep difficulties
Adjustment problems - change in lifestyle; loss
Pain management
Obsessive/compulsive thoughts or actions
Misuse of alcohol.
Practice based evidence is central to the hgp approach.
Internationally recognised psychometric tests are introduced at assessment and at each domiciliary therapy session. These reveal the patient's psychological problems at the outset, provide session by session progress and illustrate an end of therapy result.
The results indicate that a clinically reliable change is effected in the majority of patients who access our service.
"The hgp model promotes a climate of positive change, enabling people to return to normal, day to day living, in the shortest possible time.
Our evidence-based treatment is delivered within a framework of sound knowledge, experience and accountability to the patients and referrers."
Wendy Amey
Managing director
CBT Rehabilitation Ltd