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Trauma therapy

Memory, meaning, and the nervous system. How to treat what got stuck.

In this guide

A working library for trauma-focused practice — EMDR, CPT, PE, IFS, and somatic work; PTSD and complex trauma; the populations and presentations where trauma is the engine; and plain-language client explainers you can share or open in session.

6 modalities3 disorders12 worksheets2 cases1 populations4 client explainers

Disorders

First-line picks and clinical guidance for the presentations under this topic.

Post-Traumatic Stress Disorder

Re-experiencing, avoidance, negative cognition/mood, and hyperarousal following a traumatic event.

Trauma-focused psychotherapies outperform medication for PTSD. Three first-line options have comparable efficacy; choice often depends on client preference and avoidance level. Stabilization and resourcing precede reprocessing in complex trauma.

First-line:PE · CPT · EMDR

Complex Trauma / C-PTSD

Prolonged, repeated interpersonal trauma with disturbances in self-organization, affect, and relationships.

Complex trauma requires phase-based treatment: safety/stabilization → processing → integration/reconnection (Herman). Single-shot trauma protocols often destabilize without preparation. Parts-based and somatic approaches are well-suited.

First-line:IFS · SE

Dissociative Disorders

Disruptions in identity, memory, consciousness, or perception — usually trauma-rooted.

Phase-based treatment (ISSTD guidelines): safety/stabilization → trauma processing → integration. Standard trauma protocols without preparation typically destabilize dissociative clients. Specialist supervision is essential.

First-line:IFS · SE