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Trauma-informed care shifts the focus from “What’s wrong with you?” to “What happened to you?” A trauma-informed approach to care acknowledges that health care organizations and care teams need to have a complete picture of a client’s life situation — past and present — in order to provide effective health care services with a healing orientation.

Trauma-informed care seeks to:

  • Realizes the widespread impact of trauma and understands potential paths for recovery;

  • Recognizes the signs and symptoms of trauma in clients, families, staff, and others involved with the system;

  • Responds by fully integrating knowledge about trauma into policies, procedures, and practices; and

  • Seeks to actively resist re-traumatization

Six Key Principles of a Trauma-Informed Approach:

Safety

Trustworthiness and Transparency

Peer support

Collaboration and mutuality

Empowerment

Voice and Choice

Cultural, Historical, and Gender Issues

Your progress in trauma therapy:

  • You can eliminate or reduce trauma-related symptoms' negative impact on your social, occupational, and family functioning.

  • You can return to the level of psychological functioning before exposure to the traumatic event.

  • You may no longer experiences intrusive event recollections, avoidance of event reminders, intense arousal, or disinterest in activities or relationships.

  • You can think about or openly discusses the traumatic event with others without experiencing psychological or physiological distress.

  • You can no longer avoid persons, places, activities, and objects reminiscent of the traumatic event.

Cognitive processing therapy (CPT) is a specialized type of cognitive behavioral therapy that has been effective in decreasing symptoms of PTSD that have emerged after experiencing a variety of traumatic events including child abuse, combat, rape, and natural disasters. The focus of CPT is to help individuals confront and revise adverse beliefs regarding the trauma. The goal is then to decrease the negative impact of the trauma on current life experiences (American Psychological Association, 2017). CPT is an evidence-based treatment for PTSD (AHRQ, 2018; American Psychological Association, 2017; VA/DOD, 2017).

When treating trauma, we work with three levels of information processing - which goes along with the three levels of the brain. We work with cognitions and belief systems formed after the trauma, which involves the cortex. We also have to work with emotions, like rage and terror, involving the limbic system. Then we also have to work with the body because that’s where the trauma impacts.

Together, let us embark on a journey towards improved health, vitality, and overall well-being.

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