By Claudia Zayfert PhD, Carolyn Black Becker PhD
See additionally the similar self-help consultant, When somebody you like Suffers from Posttraumatic Stress, a fantastic advice for consumers and their relations members.
Read or Download Cognitive-Behavioral Therapy for PTSD: A Case Formulation Approach PDF
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Additional info for Cognitive-Behavioral Therapy for PTSD: A Case Formulation Approach
For example, in the case of Morgan (see description at start of the chapter), her traumatic events postdated her eating disorder, which was the principal diagnosis. In her case (see below for more detail), the therapist decided to target the eating disorder first.
Therefore, after experiencing a trauma, it is natural to want to think things through—to organize and understand what happened. Consider, for example, how your mind works after you watch a movie with a twisting plot in which the loose ends come together in the 16 COGNITIVE-BEHAVIORAL THERAPY FOR PTSD final minutes of the film. As you leave the theater, you may find yourself reviewing the entire story from start to finish to make sense of the details in light of the new information. If there is incompatible or missing information, you may continue for the rest of the evening to review it, trying to fit all the pieces together.
Your first step entails organizing your assessment information into a helpful format. Next, you formulate working hypotheses, which are the cornerstone of your case formulation. Working hypotheses are the tentative explanations that you generate about your patient, based on both your observations and relevant nomothetic models. You then generate a treatment plan based on your formulation. Finally, you implement your plan with ongoing assessment, which helps you determine whether the treatment is proceeding successfully, or whether modifications to the formulation and treatment plan are needed.