Cognitive Behavioral Therapy with PTSD Intervention

Cognitive Behavioral Therapy with PTSD Intervention

Method of Intervention used on a Patient who Experiences Post War Trauma

The intervention technique that is most detailed in handling a case of a man with PTSD is exposure to therapy method. The technique of exposure therapy is suitable to a patient who has gone through a traumatic experience while at war and faces moments that are critical in his life. Wars lead to psychological effects in the mindset of an individual and require a suitable treatment technique. Exposure therapy works in a platform that is sequential and it generally includes different methods like systematic decentralization as well as flooding, which can either be imaginable or vivo depending on the conditions of the patient. Other exposure therapy forums include self-control and participant modeling decentralization. Among the techniques discussed above, their application is performed on an individual with the aim of ascertaining the type and level of trauma they have experienced. For example, an ex-soldier under review might have developed different kinds of traumas and it would be suitable to establish their case before employing any prerequisite administration technique (Dattilio and Freeman, 2007, p. 64).

This situation is one where the techniques mentioned above are applied. Additionally, the task of ascertaining the type and nature of emotion an individual suffers from is completely in the hands of experts, who carry out a series of tests under intervention exposure methods. Emotional processing is looked upon as an ideal technique of ascertaining psychological conditions of the victim under treatment. Two main techniques under therapy exposure take different set of processes where the forms of graduated exposure are induced on the victim in either imaginal or vivo exposure system. Additionally, the technique described above might be accompanied by relaxation in the attempt to maintain fear-antagonistic state of the individual. The extensive approach which is under exposure therapies might involve the victim being take back to the site of the trauma in order to make sure they come into terms with salient terms accompanying the event. Some of the terms might include the time of day when the trauma occurred, and other external stimuli with lose connection or association with the trauma. Apart from this technique, emotional structures of the victim are as well connected taking into account the traumatic event by presentation of imaginal material or combination with vivo cues.

Apart from the 2 techniques highlighted under therapy exposure, there is also Cognitive Behavior Therapy for PTSD which can, in equal measure incorporate stress management and inoculation techniques or for this case, therapy. Under stress management or stress inoculation therapy technique, the victim goes through skillful training and they master all concerned behavior techniques and as such, they have a better understanding on how they can manage their anxiety response. The training is not simply limited to the level but it extends further, in which case, the victim gets full training on how they can apply new skills in the management of symptoms that are PTSD related.

Exposure therapy, while wide and not in any way limited to the techniques described above, other techniques that can reduce post war trauma effects on my client include relaxation training in which case the victim is taught how to management stress by avoiding such occurrences and simply relaxing (follette & Ruzek, 2006, p.231). Another technique that falls under exposure therapy includes anger trainings and management skills. Under the technique, the victim is taught how they can become slow to anger, particularly when confronted with similar situations as those experienced earlier. In relation to this, the victim becomes more resilient to anger and they maintain a somber mood while dealing with varying situations. Lastly, trainings that involve exposure to radiation have the tendency to capture self-guided dialogue and though stopping. These techniques and methods are part of the whole package which is taught under therapy exposure for purposes of culminating the effects of trauma.

Literature Review in Favor of Exposure Therapy Method

Introduction

Exposure therapy is a technique used to get rid of instances of PTSD. The first, notable administration that was successful of this technique was during the 1980’s shortly after the technique appeared in diagnostic nomenclature. Exposure therapy is looked upon as the ideal technique of CBT in control of PTSD. In the 1980’s, victims were introduced to systematic exposures first to traumatizing events they had initially experienced. The onset of controlling and treating is attributed to single-subject designs or in some instances, involved in genetic psychological assessment used to demonstrate clinical outcomes. Later on, larger and more controlled evaluations were carried out so as to validate PTSD treatment. This became the melting point where PTSD treatments under Cognitive Behavioral Therapy were invented (Johnson, 2009, p. 47). Exposure therapy was therefore applicable in majority of cases, especially, in instances where the victim had gone through traumatizing events. Supportive clinical details are quite detailed to showcase how victims respond to different forms of exposure therapies for purposes of controlling severe effects which are associated with their own set of traumas. For example, taking into consideration the case of a victim with bad memory from war, the best technique is to attend radiation therapy exposure. Sequential procedures which are attached to this technique suffice need to psychological construction an once more, generate upbeat measure on victim.

There are different measures adopted to standardize and validate application of exposure therapy under the treatment and control of PTSD. Subsequent treatment and test methods applied in controlling effects of PTSD resulting from given traumas the individuals undergo. Taking into consideration the instance of a war veteran, many predictions cannot be made regarding their status and condition unless they are exposed to different forms of therapy techniques. This aspect forms conceptual framework that is used by various clinical researchers in establishment of the magnitude of effects generated by different forms of trauma on the victims. However, researchers as well as other sets of scholars gave already intensified search for better techniques that can see PSTD victims cushioned from corresponding adversities under the general technique of exposure therapy. Therapy as well as an implication that is deeper especially when one takes into consideration the key techniques discussed above. The aspect that is most important in administering these methods on victims is always realizing accurate measure and results that can eliminate potential errors while establishing a victim’s psychological and mental condition. This platform, is the one on which exposure therapy operates in controlling some of the severe conditions victims suffer from syndromes that are trauma related. Additionally, syndicate of techniques and methods can be applied before one validates the exact position regarding a given victim. Empirical studies and clinical research on the other hand, indicate that exposure therapy generates an improved outcome on victims of PTSD. The result is one based on improved conditions of victims with chronic PTSDA (Hoffmann & Reinecke, 2013, p. 312). Exposure therapy has received recognition as the most efficacy of cognitive behavioral procedures in treatment of PTSD. Such generalization attains 2 methodologically approved clinical trials which employ men with war experience and who are unstable in their mindsets.

Variations attainable to clinical treatments for PTDS, is what at times attribute to different supplements and under exposure therapy. Such measures have cognitive procedures which serve intention of addressing different kinds of issues that are related to guilt, various cognitive distortions, and set of values rendered dysfunctional as well as Image-2-300x157beliefs considered irrational. These are set conditions which apply in cure of PTSD and at times, attract intricate measures in treatments. It is also proper for combat veterans to establish if such sets of techniques add to the overall effectiveness of the treatments while also taking into consideration certain empirical questions. Cognitive behaviors on PTSD victims exist under the intuitive of adjuncts and theoretical appeals and this aspect makes the clinical trial field to wait for firm jurisdictions to psychological elements stated. Test and care of PTSD patients should be a thorough process, encompassing various technocrats as well as variety of exposure especially therapy technique exposures. Scholarly attributes have also favored exposure therapy through its numerous methods that help in proper trauma control (Monson & Fredman, 2012, p 123). For example, most of the scholarly research is anchored on war-veterans, who are rendered psychologically unstable on the basis of incidences they experienced during war. Considerable technique under therapy exposure is applied in controlling effects that are associated with these disorders. Just as war veteran under my custody responds to varying techniques of exposure therapy, so are justifications which are made by different scholars. This is literature review with regard to exposure therapy which is used to culminate potential PTSD effects.

Adaptive Mechanism Necessary for Clients

The extent of PSTD effects remains under control after the appropriate mechanism is used by the victim. Like in the case I handled, the victim faced a myriad of challenges that jeopardized his mental and social concentration. In one manner or the other, the victim appeared to have lost common sense and hope attainable to a normal being. The test, however later shows the corresponding and level of post trauma stress magnitude has not reached a lethal level in his brain. Fortunately, this creates favorable balance in which correctional practices can be applied in order to assist in reviving victims’ social standing (Zayfert & Becker, 2006, p. 82).

In this section, a lot of emphasis will be laid on resilience mechanism attainable to exposure therapy as it is discussed above. Technocrats make key postulates and they categorically state PSTD are eliminated permanently upon the development of mental and social adaptive mechanism, this is the ideal technique that war veteran deserve and is applicable in a couple of ways.

The first adaptive mechanism that is applicable to PSTD is exposure of the victim to a series of events that remind him of severe experiences he had in his life. Constant exposure to the stimuli generates more strength and also makes it possible for him to overcome psychological effects related to their traumatic experience. The process should be consequential to subvert drastic change that might generate additional harm to the victim. A good example of such an approach is permanent adaption to PSTD by consistently exposing the victim to series of incidences that are less related but still somehow related to their traumatic experience, till they can withstand greater magnitude of such events. This is a principle of exposure therapy, stating that persistent exposure leads to resilience as well as more adaptation (Litz, 2004), p.92). Permanent adaptation and resilience through continued exposure is another means through which victims heal from prolonged trauma cases. In addition, the technique also enhances their reasoning capability when exposed to a situation that is similar.

The general model adopted gets inscribed under exposure theory, which basically involves maintenance of the victim’s anxiety as well as general adaption to PTSD. The mind frame of a human being is codified in a manner that gets accustomed to situations, objects, memories and images he once saw through constant exposure. This is concept of adaptation in line with exposure therapy. The general principle is that the technique follows successful anxiety treatment activation through effective cognitive scenarios directly related to specific trauma of the victim, an issue that can be both socially and empirically proven in order to facilitate healthy ways of processing trauma. The levels of exposure vary in accordance to the extent and degree of trauma the individual goes through. This is the framework model adaptive techniques operate in controlling trauma effects on individuals who exhibit varying degree and levels (Foa, & Rothbaum, 1998, p. 67). For example, in the instance of war veteran, he can become resilient from severe experience of war through progressively exposing him to movies, with varying levels of violence. This is an ideal way of making sure they conceptualize the reality behind the scene and count themselves lucky to be still alive despite the war they fought. Thus, exposure is an ideal tool towards ensuring the victim is cushioned permanently from adversities of war that can possible upset their mental status.

Adaptation levels vary in accordance to set environments. Micro environment refer to adaptive environment that the victims acquires in their inner conscience. Such modes of adaptations are realized after constant exposure to a couple of events that contribute to adversities the victim goes through. Micro environmental adaptation is realized from the personal effort an individual perceives, after they gain good ground of exposure therapies. For example, ability to reason as well as make right justification arises from the self-consciousness of an individual. This adaptation is the most stable a victim can attain because they reason the facts out and make proper judgments and choice. Making self-justifications is also an ideal platform for recognizing personal problems and helps one from overcoming physical and psychological tortures attributed to past events. Micro adaptation is a fuller step that the victim will enjoy always though they struggle to recuperate from conditions that are severe.

Macro adaptation on the other hand, is attributed to efforts mentors make in sustaining psychological mindsets of the individual suffering from PTSD. Such an approach involves provision of counselling and remarkably making contributions to the life of the victim by conducting a series of exposure techniques in the life of the victim. The victim, at this point, is strong and resilient as a result of contributory efforts of their mentor and his, though the mentor’s efforts tend to be most pronounced. The higher levels of adaptation are attainable through inclusion of multiple processes that include micro mezzo as well as macroadaptation platform exposure therapy is supposed to be monitored under 3 functional framework adaptation. With such mechanisms, I believe the victim can resume their former life and live a life that is stress free.

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References

Dattilio, F. M., & Freeman, A. (2007).Cognitive-behavioral strategies in crisis intervention.New York: Guilford Press.

Foa, E. B., & Rothbaum, B. O. (1998).Treating the trauma of rape: Cognitive-behavioral therapy for PTSD. New York: Guilford Press.

Follette, V. M., & Ruzek, J. I. (2006).Cognitive-behavioral therapies for trauma. New York: Guilford Press.

Hofmann, S. G., & Reinecke, M. A. (2010).Cognitive-behavioral therapy with adults: A guide to empirically-informed assessment and intervention. Cambridge: Cambridge University Press.

Johnson, S. L. (2009). Therapist’s guide to posttraumatic stress disorder intervention. Amsterdam: Elsevier/Academic Press.

Litz, B. T. (2004). Early intervention for trauma and traumatic loss. New York: Guilford Press.

Monson, C. M., & Fredman, S. J. (2012).Cognitive-behavioral conjoint therapy for PTSD: Harnessing the healing power of relationships. New York: Guilford Press

Zayfert, C., & Becker, C. (2006).Cognitive-Behavioral Therapy for PTSD: A Case Formulation Approach. New York: Guilford Publications.