Judy’s journey to healing had been stormy. Numbness, depression, and anxiety led her to hunt counseling periodically. Sleep was at the best restless and brief, Trauma Treatment DC at the worst nightmarish and unending. Sights, sounds, and smells during the day triggered horrific flashes of Images at unexpected times. Her relationships never felt solid. She wasn’t sure of the direction in life. Judy presented these concerns in each of her many attempts at counseling. Each therapist gave a special diagnosis and used a special approach. Judy experienced brief episodes of relief. She learned about her dysfunctional thoughts. She knew the principles of assertiveness but had difficulty implementing them.
Others saw her smile as a symbol of her functioning well in her job. While active in church, Judy quietly battled feelings of guilt, doubts about God, and desires to finish her internal anguish at her hand. When the pain or flashes got too intense, she would address drastic measures like drinking to numb out or cutting her body to assist her to feel real. This vignette is usually descriptive of the many of over 500 Trauma Treatment DC survivors that I even have seen. These individuals vary in trauma experiences from war to natural disasters, from criminal assault to maltreatment, from medical procedures to accidents. The client often had been through numerous diagnoses, therapies, medications, and hospitalizations, also as criticisms that he or she wasn’t trying to urge better.
Trauma Treatment DC therefore the realization of the complexity grew
I for trauma treatment sought to develop a process that was a road map for both counselor and client to follow in handling the extensive healing needed. In 1991, I started training and consulting others within the use of The Integrity Model as a type of care. This model has provided both an idea for treatment and a safeguard for clients in crises. Regardless of the modality of therapy of the counselor or the presenting concern of the client, this model is an efficient way of brooding about the counseling process. The Integrity Model consists of 5 stages to assist both counselor and client to navigate the healing process while moderating the symptoms: safety to scale back the hyperarousal symptoms; stability to scale back the compulsive numbing and acting-out and to take care of a far better stream of consciousness; strength to determine a support network and to strengthen self-care; synthesis to spot and resolve the distorted beliefs and self-perceptions caused by the trauma; and solidarity to develop a way of self which will thrive in life.
Judy learned within the first stage (Safety) to spot the problems that aggravated her hyperarousal symptoms
She examined several areas of events in her lifestyle which produced a startle reaction, certain interactions and kinds of individuals, and certain settings where she felt unsafe. All were examined for choices to strengthen a way of safety. Healthy choices protection was supported. When Judy identified not feeling safe within herself, a really specific Imagery for a secure Place was constructed with the advisor’s help. This purposefully addressed the shortage of a future focus for healing, countering the sense of foreshortened future that’s diagnostic trauma survivors. Further safety was fostered during this stage by providing Imagery for containment within the Safe Place, a way for holding flashbacks.
When Judy heard a click from a closing door, it seemed like the cocking of the gun before her assailant shot her. That sound mentioned a picture of a trauma event that had happened 10 years earlier. Thereupon flashback came all the emotions of helplessness and pain she felt then. to prevent the related anxiety, she placed that scene within the Cleft of the Rock in her Safe Place, erased the tape which held the trigger sound, and reminded herself that what was currently happening was only the sound of a door opening.
The second stage (Stability) helped Judy face numbing behaviors that kept healing at a standstill. She replaced impulsive and compulsive behavior drinking, gambling, eating disorders, and self-harm to call a couple of healthy boundaries and accountability. She sought medical intervention for depression to assist lift her mood and clarify her thinking, allowing quicker progress and awareness. The counselor contracted for safety about potential acting- out, utilizing the contracting as a way to foster a commitment to therapy. For instance, Judy frequently would make tiny razor cuts of her thigh to prevent the emotions of unreality.
Judy and her therapist contracted to use a block of ice to gain her thigh therefore the cutting cold would help her feel real, call one among her supporters, or call the therapist for 10-minute calls between sessions. This contract helped to stabilize the emotions of being alone, out of control, and helpless. If Judy were to interrupt a contract, there would be an understanding that there would be another session when the therapeutic relationship would be evaluated by both Judy and therefore the counselor. This provides the counselor with a structure to end a client who due to a mental disorder is using self-harm threats as a way to control or to stay dependent.