Childhood trauma predisposes individuals to develop PTSD, with subsequent traumatic stressors increasing this risk. Formulating a treatment plan is complicated because of the way that life events can coalesce to shape trauma-based schemas, adaptive responses, and resources. This workshop will provide detailed instructions on how to conduct an assessment on PTSD in the context of complex trauma history as well as treatment plans that include one or more of the following:
• STAIR/NST – Skills training in affective and interpersonal regulation & Narrative storytelling
• DBT – Dialectical behavioral therapy
• CPT – Cognitive processing therapy
• PE – Prolonged exposure
Participants will be introduced to each approach, how to use them in combination, and the way that these approaches target the intrusive re-experiencing of trauma through purposeful reflective remembering and reappraisals, while taking into account avoidance, emotional and cognitive dysregulation, dissociation, hyperarousal and hypervigilance.
Tiffany Hopkins, Ph.D., is an Assistant Professor and Clinical Psychologist within UNC’s Center for Women’s Mood Disorders. Her current clinical specialties are in trauma recovery, women’s health, and perinatal psychology. She has extensive experience and training in Prolonged Exposure, Dialectical Behavior Therapy, Cognitive Processing Therapy, and STAIR/NST for trauma. She was previously employed by the Durham VA Medical Center, where she completed her postdoctoral fellowship in the Trauma Recovery Program within the Women’s Health and Male Military Sexual Trauma clinics. Additionally, Dr. Hopkins participated in the national rollout for the dissemination of Prolonged Exposure and Cognitive Processing Therapy by the National Center for PTSD
At the completion of this workshop, participants will be able to:
1. Identify and apply at least 1 principle for conducting effective PTSD assessments among people with complex trauma history.
2. Name and describe at least 3 evidence-informed treatments for conducting PTSD treatment for individuals with complex trauma histories.
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- Foa, E. B., Keane, T. M., Friedman, M. J., & Cohen, J. A. (Eds.) (2009). Effective treatments for PTSD: Practice guidelines from the International Society for Traumatic Stress Studies. New York NY: Guilford.
- Ford, J. D. (2018). Trauma memory processing in posttraumatic stress disorder psychotherapy: A unifying framework. Journal of Traumatic Stress, 31(6), 933-942. doi:10.1002/jts.22344
- MacIntosh, H. B., Cloitre, M., Kortis, K., Peck, A., & Weiss, B. J. (2018). Implementation and evaluation of the skills training in affective and interpersonal regulation (STAIR) in a community setting in the context of childhood sexual abuse. Research on Social Work Practice, 28(5), 595-602. doi:10.1177/1049731516656803
- Junglen, A. G., Smith, B. C., Coleman, J. A., Pacella, M. L., Boarts, J. M., Jones, T., . . . Delahanty, D. L. (2017). A multi-level modeling approach examining PTSD symptom reduction during prolonged exposure therapy: Moderating effects of number of trauma types experienced, having an HIV-related index trauma, and years since HIV diagnosis among HIV-positive adults. AIDS Care, 29(11), 1391-1398. doi:10.1080/09540121.2017.1300625
- Hendriks, L., Kleine, R. A. d., Broekman, T. G., Hendriks, G., & Minnen, A. v. (2018). Intensive prolonged exposure therapy for chronic PTSD patients following multiple trauma and multiple treatment attempts. European Journal of Psychotraumatology, 9(1), 1425574-14. doi:10.1080/20008198.2018.1425574
UNC Chapel Hill School of Social Work Clinical Lecture Series