Topic 4, DQ 1

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Grand Canyon University *

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680

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Psychology

Date

Apr 3, 2024

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docx

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1

Uploaded by DeanMoonOwl42

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Professor and class, When a client comes into the office seeking treatment for a traumatic experience they have endured, as a counselor it is our job to choose the best modality with most effectiveness to fit their specific needs. Trauma is the emotional response to being either a victim or a witness of a disturbing event, exposure to this type of events is common among children and adolescents, which can result in lasting trauma, anxiety, or stress. As found by Xion-Yu et al. (2022), approximately 1 in 6 children establish PTSD following a traumatic experience (para.1). When the stress and trauma become too much, affecting the ability of daily activities, there are two types of treatment modalities a counselor can choose between, cognitive-behavioral therapy and prolonged exposure therapy, which we will discuss and compare. Cognitive-behavioral therapy in children and adolescents, as stated by Xion-Yu (2022), was the preferred treatment option for PTSD, with evidence of a reduction in symptoms and anxiety (para.3). Xion-Yu (2022) continues to share after three various trials, CBT did reduce the severity of symptoms with PTSD significantly and improves with the inclusion of their parents in forms to enhance their understanding symptoms of PTSD (para.28). CBT has proven positive effectiveness with children and adolescents that experience PTSD caused by sexual abuse and war exposure, with group sessions notably decreasing psychological troubles and social distress (Xion-Yu, 2022, para.29). CBT is generally identified in treatment for PTSD as it is supported in the theory that our thoughts, feelings, and actions are interconnected. Prolonged Exposure therapy (PE) helps the child confront their traumatic memory by intentionally restating the event while creating a list in order of severity of things they have avoided. PE is constructed to concentrate on the developmentally correct issues, strengths, and needs, with the inclusion of family, while integrating exercises that are appropriate for family (Title IV-E Prevention Services, 2021, para.1). The purpose of in vivo and imaginal exposure therapy is to aid the client with processing their emotions, learning they can successfully relive their traumatic experiences safely, with their initial trouble decreasing over time. Breathing retraining exercises are implemented as well as a preventative against syncope. Both treatment modalities include support from the family and constant guidance and PTSD counselors use evidence-based treatment modalities tailored to each client’s specific needs. CBT and PE are the standard cognitive behavioral therapies with the greatest data for effectiveness when treating PTSD. Numerous studies have proven that both treatment modalities have significantly reduced symptoms of PTSD, while also improving their overall mental well-being. References Title IV-E Prevention Services (2021 May). Prolonged exposure therapy for adolescents with PTSD. https://preventionservices.acf.hhs.gov/programs/279/show Xion-Yu, C.-Y., Deng, N.-J., Zhong, J., Li, H.-Y., Gao, T.-Y., Zhang, C., and Gong, Q.-Q. (2022 Jul 1). Cognitive behavioral therapy for children and adolescents with posttraumatic stress disorder: Meta-analysis. Journal of Affective Disorders, 308 : 502-511. https://doi.org/10.1016/j.jad.2022.04.111
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