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Treating Complex Trauma in Adolescents and Young Adults

Treating Complex Trauma in Adolescents and Young Adults

November 2011 | 272 pages | SAGE Publications, Inc
Treating Complex Trauma in Adolescents is the first practical and research-based manual to guide students and practitioners on working specifically with traumatized adolescents. Best-selling author, John Briere fills a gap in what's currently available in working with multi-traumatized adolescents.

The book will cover the following areas: problems and symptoms, assessment, treatment overview, relationship building, psychoeducation, training and regulation, interventions with adolescents and their families, and group therapy.

1. Introduction
Section I: Complex Trauma Outcomes and Assessment
2. Complex Trauma in Adolescence and Young Adulthood
3. Assessment
4. Completing and Using the Assessment-Treatment Flowchart for Adolescents (ATF-A)
Section II: Overview of Treatment
5. Central Aspects of ITCT-A
6. From Assessment to Intervention: The Problems-to-Components Grid (PCG)
7. Sequence and Session-Level Structure of ITCT-A
Section III: Treatment Components
8. Relationship Building and Support
9. Safety Interventions
10. Psychoeducation
11. Distress Reduction and Affect Regulation Training
12. Cognitive Processing
13. Trigger Identification and Intervention
14. Titrated Exposure
15. Relational Processing
16. Interventions for Identity Issues
17. Family Therapy
18. Interventions With Caretakers
19. Group Sessions
20. Three Case Examples
21. Treatment Outcome Results
22. Summary
Section IV: Appendices
Appendix I: Intitial Trauma Review- Adolescent Version (ITR-A)
Appendix II: ATF-A Assessment Locator
Appendix III: Assessment- Treatment Flowchart: Adolescent Version (ATF-A)
Appendix IV: Problems-to-Components Grid (PCG)
Appendix V: Written Homework About My Trauma
Appendix VI: What Triggers Me? (The Trigger Grid)
Appendix VII: Outlines for Two ITCT-A Therapy Groups

"This is a very concise, well-structured and comprehensive guide for the assessment and treatment of complex trauma in adolescents. It provides thorough descriptions of the multiple levels of interventions that are needed in order to facilitate therapeutic progress and re-establish healthy development in adolescents with histories of early traumatization. In addition, the model provides some practical tools that facilitate the implementation of appropriate strategies at different stages of treatment."

Ana Mercedes Caro
Chestnut Hill College

"The treatment model implemented in this text is excellent! This model is based upon evidence- based principles, and addresses the unique developmental and treatment needs of adolescents who are survivors of multiple traumatic experiences. No other book in the literature comes close to this thoroughly addressing the multiple treatment needs of multi-traumatized adolescents. Complex trauma and complex trauma as applied to adolescents is not this thoroughly addressed anywhere in the literature. This book is essential reading for any practitioner."

Victoria White Kress
Youngstown State University

"Drs. Briere and Lanktree have admirably succeeded in describing a truly integrative approach to psychotherapy for children and adolescents whose complex trauma histories and correspondingly complex symptoms present clinicians with a formidable challenge. This book provides a uniquely comprehensive guide to treatment planning, assessment, and therapy strategies that should be required reading for every therapist working with these youths."

Julian D. Ford
University of Connecticut Health Center

"This important text offers a comprehensive and practical treatment model for complex trauma, Integrative Treatment of Trauma for Adolescents (ITCT-A), for an age group that has not received adequate attention.The model is based on the most current research and treatment recommendations and expands upon the state of the art. Drs. Briere and Lanktree are to be congratulated for developing this highly integrative model and for providing therapists with such a clear description of its use and applications. Treating Complex Trauma in Adolescents and Young Adults is destined to be a classic."

Christine A. Courtois
Associate Editor, Psychological Trauma: Research, Theory, Practice & Policy

"This innovative book provides clinicians with an immediately useful blueprint for negotiating challenging clinical issues when working with teens and youth with histories of complex trauma. The combined clinical experience of these two seasoned researchers/clinicians is evident as they emphasize a comprehensive assessment, a customized approach, and the integration of both structure and flexibility. Of particular value are assessment-treatment tools included in the text that encourage a detailed assessment of the client's current functioning, along with clear guidelines for transitioning from problems to interventions. This structured approach also promotes establishing a strong therapy relationship that attends to culture, development, and gender. This model provides "how to" approaches every step of the way while requiring clinicians to utilize optimal judgement, sensitivity, and investment in their work with traumautized youngsters. I highly recommend this evidence-informed, clinically-sound, and inspired book."

Eliana Gil, Ph.D.
Gil Center for Healing and Play

"Drs. Briere and Lanktree's keenly insightful approach provides the therapist a window into the intricacies and challenges confronting youth from different social and ethno/cultural communities. It offers innovative, culturally sensitive strategies for assessing and treating high-risk, traumatized youths, and embodies the single most important goal of our profession's collective efforts: taking our findings from clinical and research settings to communities - "bench to the trench," striving to ensure that no child is, in fact, left behind."

Russell T. Jones, Ph.D.
Pennsylvania State University

"Over past two decades, scientists, mental health practitioners and service providers have developed considerable interest in understanding the phenomenology of complex trauma in children, adolescents and adults who have suffered repeated and severe exposures to a wide-range of childhood traumatic experiences, including physical, sexual and emotional abuse and domestic violence. With this interest has emerged a growing body of research and information on the nature, assessment, and treatment of complex trauma that the authors of Treating Complex Trauma in Adolescents and Young Adults have integrated into a comprehensive and compelling, evidence-informed and assessment-driven treatment model and approach: Integrative Treatment of Complex Trauma for Adolescents (ITCT-A). Addressing a major gap in the trauma-treatment literature, this exceptionally well-written volume is an indispensable resource for psychologists, psychiatrists, social workers, psychiatric nurse practitioners, and therapists working with severely traumatized adolescents and their caregivers across the child-serving systems that provide care, including private practice, mental health clinics, family medicine and pediatrics, child welfare, juvenile justice, schools, and substance abuse treatment."

John A. Fairbank
Duke University Medical Center

A must have book if working with Trauma

Miss nicola lord
Department of Health, Preston College
September 18, 2016

This book is a treasure chest for people working with traumatized adolescents, as well as for students who want to acquaint themselves with how to encounter multi-traumatized adolescents. This book delivers a comprehensive overview of multiple strategies that should be employed when working with traumatized individuals - maintaining a special focus on the needs of adolescents and young adults. While providing an expansive set of therapeutic interventions, it is still not overwhelming and instead allows the practitioner to individually adopt the strategies presented to his clients' current needs (which sometimes change within short periods of time). The focus of the book clearly is on "classical" psychotherapeutic interventions, interventions like e.g. EMDR are not dealt with.

Mrs Elena Kurzius
Institute of Psychology, M. Luther-University Halle-Wittenberg
September 9, 2015

This book provides a most interesting read especially complex trauma and assessment.

For any person working or interested in adolescent behaviours this book with be of interest. I particularly liked the treatment components.

Mr Robert Bielby
faculty of health and social care sciences, Kingston University
March 31, 2015

Sample Materials & Chapters

Table of Contents

1. Introduction

3. Assessment

For instructors

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