Table of ContentsView AllTable of ContentsWhat Is Trauma?TechniquesWhat Trauma-Informed Therapy Can Help WithEffectivenessThings to ConsiderA Word From Verywell
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Table of Contents
What Is Trauma?
Techniques
What Trauma-Informed Therapy Can Help With
Effectiveness
Things to Consider
A Word From Verywell
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What Is Trauma-Informed Therapy?Trauma-informed therapyinvolves accounting for clients’ trauma and its impact on their behavior, mental health, and ability to engage in treatment. Trauma-informed therapists assume that a client could have atrauma historyand will take steps to avoid inadvertently triggering or re-traumatizing the client in treatment.
What Is Trauma-Informed Therapy?
Trauma-informed therapyinvolves accounting for clients’ trauma and its impact on their behavior, mental health, and ability to engage in treatment. Trauma-informed therapists assume that a client could have atrauma historyand will take steps to avoid inadvertently triggering or re-traumatizing the client in treatment.
Trauma can mean many different things, and there is no one set type of trauma or one way that people respond to a traumatic event. The same event will have different impacts on different people, and not everyone who experiences a traumatic event will have trauma afterward.
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In general, the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5)defines trauma as “exposure to actual or threatened events involving death, serious injury, or sexual violation in one (or more) of the following ways:
The Centers for Disease Control and Prevention (CDC) and Kaiser Permanente Insurance continue to study the impact of ongoing stressors on children, known as Adverse Childhood Experiences or ACEs.
According to this research, Adverse Childhood Experiences can lead toconduct issues in children and adolescentsand can have lifelong consequences. Adults with high ACE scores are at greater risk than those with lower scores for physical health issues, mental illness, and early death.
The researchers identified 10 Adverse Childhood Experiences:
Additional research suggests that racial trauma should also be considered an Adverse Childhood Experience for Black children.
The initial study indicates that more than 46% of children have at least one Adverse Childhood Experience, highlighting the need for trauma-informed care.
When a therapist is trauma-informed, they are knowledgeable about trauma and understand the potential impact of trauma on each of their clients. Trauma-informed therapy emphasizes not asking, “What is wrong with you?” but instead asking, “What happened to you?”
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Techniques of Trauma-Informed Therapy
Trauma-informed therapy is not about a specific intervention but rather tailoring interventions in the context of the individual’s trauma history, triggers, and specific needs. It is a lens through which the therapist views their clients, taking into account the impact of trauma on emotions, regulation, and behavior. They will also consider the effects of intergenerational trauma on clients.
Trauma-informed therapists emphasize the following areas in their practice:
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As the name suggests, trauma-informed therapy is beneficial in working with any individual who has experienced trauma, either inchildhoodor as an adult. Even if you are not in treatment specifically for your trauma, this approach can ensure your emotional safety in your sessions.
Although not everyone has experienced trauma, a trauma-informed approach will not harm someone who does not need trauma-informed care. This is why many providers take a trauma-informed approach in all sessions and not just when the presenting concern is related to a specific trauma.
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The Effectiveness of Trauma-Informed Therapy
Although trauma-informed therapy does not refer to a specific set of interventions, this approach to care has been shown to increase the effectiveness in youthand adultswho have experienced trauma.
Trauma-informed therapy can also address issues of guilt andshamethat trauma survivors often carry.
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Things to Consider When Starting Trauma Therapy
If you think that trauma-informed care is a good fit for your needs, you want to seek therapy from someone with the appropriate training. Here are some things to consider before you begin trauma therapy.
Not All Therapists Are Trauma-Informed
Most therapists are exposed to trauma work in their training, but not all therapists are trauma-informed.
Whenfinding a therapistand determining if their trauma training is a fit to your unique needs, you might ask the following questions:
Many therapists will list several specialties in directories or biographies, and not everyone who selects “trauma” as an area of expertise has the same level of training or comfort in trauma-informed care. It is OK to ask questions and find a therapist with whom you feel comfortable and safe.
You May Be Asked About Your Trauma History During the First Session
In an intake appointment, therapists typically need to gather extensive information about your history in order to make appropriate recommendations for your care. This may include questions about your trauma history. If you feel uncomfortable sharing certain details, it is OK to tell the therapist. A trauma-informed therapist will address your concerns and make adjustments based on your needs.
Some therapists might ask clients not to dig into the details of their trauma in a first session. This is because they want to ensure that the client has the skills to cope with whatever feelings come up before exploring the trauma itself. A trauma-informed therapist will communicate their approach to you and guide the session to fit with this approach.
If you begin sharing these details and your therapist decides to redirect the session, this does not mean that you have done something wrong. Your therapist might have sound reasons that they should explain to you if this comes up.
Therapy can be exhausting work because it involves exploring emotions and memories that you are not used to thinking about. Imagine that your trauma is a physical wound that you have been ignoring—you need to clean the wound so that it can heal properly, even though you know cleaning it is going to be painful. Be gentle and patient with yourself as you go on this healing journey.
If you’re dealing with the effects of trauma, there is no shame inreaching out for help. A trauma-informed therapist will validate your emotions and equip you with the healthy coping mechanisms that are necessary to safely process your trauma.
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6 SourcesVerywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.American Psychiatric Association.Diagnostic and statistical manual of mental disorders(5th ed.). 2013. https://doi.org/10.1176/appi.books.9780890425596Felitti VJ, Anda RF, Nordenberg D, et al.Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults.American Journal of Preventive Medicine. 1998;14(4):245-258.Bernard DL, Calhoun CD, Banks DE, Halliday CA, Hughes-Halbert C, Danielson CK.Making the “c-ace” for a culturally-informed adverse childhood experiences framework to understand the pervasive mental health impact of racism on black youth.Journ Child Adol Trauma. 2021;14(2):233-247.Zettler HR.Much to do about trauma: a systematic review of existing trauma-informed treatments on youth violence and recidivism.Youth Violence and Juvenile Justice. 2021;19(1):113-134.Bloomfield MAP, Yusuf FNIB, Srinivasan R, Kelleher I, Bell V, Pitman A.Trauma-informed care for adult survivors of developmental trauma with psychotic and dissociative symptoms: a systematic review of intervention studies.The Lancet Psychiatry. 2020;7(5):449-462.Capone C, Norman SB, Haller M, et al.Trauma Informed Guilt Reduction (Trigr) therapy for guilt, shame, and moral injury resulting from trauma: Rationale, design, and methodology of a two-site randomized controlled trial.Contemporary Clinical Trials. 2021;101:106251.
6 Sources
Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.American Psychiatric Association.Diagnostic and statistical manual of mental disorders(5th ed.). 2013. https://doi.org/10.1176/appi.books.9780890425596Felitti VJ, Anda RF, Nordenberg D, et al.Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults.American Journal of Preventive Medicine. 1998;14(4):245-258.Bernard DL, Calhoun CD, Banks DE, Halliday CA, Hughes-Halbert C, Danielson CK.Making the “c-ace” for a culturally-informed adverse childhood experiences framework to understand the pervasive mental health impact of racism on black youth.Journ Child Adol Trauma. 2021;14(2):233-247.Zettler HR.Much to do about trauma: a systematic review of existing trauma-informed treatments on youth violence and recidivism.Youth Violence and Juvenile Justice. 2021;19(1):113-134.Bloomfield MAP, Yusuf FNIB, Srinivasan R, Kelleher I, Bell V, Pitman A.Trauma-informed care for adult survivors of developmental trauma with psychotic and dissociative symptoms: a systematic review of intervention studies.The Lancet Psychiatry. 2020;7(5):449-462.Capone C, Norman SB, Haller M, et al.Trauma Informed Guilt Reduction (Trigr) therapy for guilt, shame, and moral injury resulting from trauma: Rationale, design, and methodology of a two-site randomized controlled trial.Contemporary Clinical Trials. 2021;101:106251.
Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
American Psychiatric Association.Diagnostic and statistical manual of mental disorders(5th ed.). 2013. https://doi.org/10.1176/appi.books.9780890425596Felitti VJ, Anda RF, Nordenberg D, et al.Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults.American Journal of Preventive Medicine. 1998;14(4):245-258.Bernard DL, Calhoun CD, Banks DE, Halliday CA, Hughes-Halbert C, Danielson CK.Making the “c-ace” for a culturally-informed adverse childhood experiences framework to understand the pervasive mental health impact of racism on black youth.Journ Child Adol Trauma. 2021;14(2):233-247.Zettler HR.Much to do about trauma: a systematic review of existing trauma-informed treatments on youth violence and recidivism.Youth Violence and Juvenile Justice. 2021;19(1):113-134.Bloomfield MAP, Yusuf FNIB, Srinivasan R, Kelleher I, Bell V, Pitman A.Trauma-informed care for adult survivors of developmental trauma with psychotic and dissociative symptoms: a systematic review of intervention studies.The Lancet Psychiatry. 2020;7(5):449-462.Capone C, Norman SB, Haller M, et al.Trauma Informed Guilt Reduction (Trigr) therapy for guilt, shame, and moral injury resulting from trauma: Rationale, design, and methodology of a two-site randomized controlled trial.Contemporary Clinical Trials. 2021;101:106251.
American Psychiatric Association.Diagnostic and statistical manual of mental disorders(5th ed.). 2013. https://doi.org/10.1176/appi.books.9780890425596
Felitti VJ, Anda RF, Nordenberg D, et al.Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults.American Journal of Preventive Medicine. 1998;14(4):245-258.
Bernard DL, Calhoun CD, Banks DE, Halliday CA, Hughes-Halbert C, Danielson CK.Making the “c-ace” for a culturally-informed adverse childhood experiences framework to understand the pervasive mental health impact of racism on black youth.Journ Child Adol Trauma. 2021;14(2):233-247.
Zettler HR.Much to do about trauma: a systematic review of existing trauma-informed treatments on youth violence and recidivism.Youth Violence and Juvenile Justice. 2021;19(1):113-134.
Bloomfield MAP, Yusuf FNIB, Srinivasan R, Kelleher I, Bell V, Pitman A.Trauma-informed care for adult survivors of developmental trauma with psychotic and dissociative symptoms: a systematic review of intervention studies.The Lancet Psychiatry. 2020;7(5):449-462.
Capone C, Norman SB, Haller M, et al.Trauma Informed Guilt Reduction (Trigr) therapy for guilt, shame, and moral injury resulting from trauma: Rationale, design, and methodology of a two-site randomized controlled trial.Contemporary Clinical Trials. 2021;101:106251.
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