Trauma Informed Guilt Reduction Therapy : Treating Guilt and Shame Resulting From Trauma and Moral Injury

Trauma Informed Guilt Reduction Therapy (TrIGR) provides mental health professionals with tools for assessing and treating guilt and shame resulting from trauma and moral injury. Guilt and shame are common features in many of the problems trauma survivors experience including posttraumatic stress disorder (PTSD), depression, substance use, and suicidality. This book presents Trauma Informed Guilt Reduction (TrIGR) Therapy, a brief, transdiagnostic psychotherapy designed to reduce guilt and shame. TrIGR offers flexibility in that it can be delivered as an individual or group treatment. Case examples demonstrate how TrIGR can be applied to a range of trauma types including physical assault, sexual abuse, childhood abuse, motor vehicle accidents, and to moral injury from combat and other military-related events. Conceptualization of trauma-related guilt and shame, assessment and treatment, and special applications are covered in-depth. Summarizes the empirical literature connecting guilt, shame, moral injury, and posttraumatic problems Guides therapists in assessing posttraumatic guilt, shame, moral injury, and related problems Provides a detailed look at a brief, transdiagnostic therapy shown to reduce guilt and shame related to trauma Describes how TrIGR can be delivered as an individual or group intervention Includes a comprehensive therapist manual and client workbook Cover TRAUMA INFORMED GUILT REDUCTION THERAPY: Treating Guilt and Shame Resulting from Trauma and Moral Injury Copyright Bios Acknowledgments Part 1: Introduction and background 1 Introduction Overview of this book 2 The connection between guilt and shame and mental health problems Defining trauma-related guilt and shame Guilt and shame related to traumatic events Guilt and shame related to interpersonal violence Military veterans and moral injury Why do some people feel guilt and shame after trauma? The impact of trauma-related guilt and shame on mental health Putting it all together: The NAGS model 3 Overview of TrIGR Part 2: Preparation and case related considerations 4 Is TrIGR the right choice for your client? Signs that TrIGR may be a good option for your client Signs that TrIGR is not a good choice When is the best time for a client to complete TrIGR? 5 Assessment of guilt, shame, PTSD, and other posttraumatic distress Examples of validated measures Assessing trauma-related guilt and shame Assessment of moral injury among Veteran clients Assessment of other common posttraumatic symptoms and reactions Assessment of additional recovery-focused outcomes 6 Preparing clients for TrIGR Motivational interviewing prior to starting TrIGR to prepare clients for therapy Addressing ambivalence throughout TrIGR 7 Considerations for therapists Working with military service members: A focus on moral injury Military experiences in the context of a client’s core values Military life and culture Inability to disclose aspects of the trauma Clients who intentionally perpetrated a trauma Survivors of interpersonal trauma Working with comorbid alcohol and substance use disorders Religious beliefs Clients who want to make amends or take reparative actions Conclusion 8 Therapist self-care Risks of burnout Signs of burnout Preventing and addressing burnout 9 TrIGR in a group format Introduction Preliminary considerations Overview of TrIGR group format Additional considerations References Part 3: Therapist manual Module 1, Sessions 1 and 2Introduction to posttraumatic guilt and shame Session 1: Overview of TrIGR, Introduction to Guilt and Shame Session 2: Common Problems and Types of Guilt Related to Trauma Module 2, Sessions 3 and 4 Debriefing the traumatic event and appraising trauma-related guilt and shame Sessions 3 and 4: Guilt appraisal Module 3: Sessions 5 and 6 Commitment to living a value-driven life and setting value-driven goals Session 5: Commitment to living a value-driven life and setting value-driven goals Session 6: A plan to live a valued life Optional for Module 4: Making amends Part 4: Client workbook Module 1, Sessions 1 and 2 Introduction to posttraumatic guilt and shame Module 2, Sessions 3 and 4 Debriefing the traumatic event and appraising trauma related guilt and shame Attitudes About Guilt Survey (AAGS) A systematic way of examining guilt and shame Attitudes about Guilt Survey (AAGS) (extra) Daily activity log Module 3: Sessions 5 and 6 Commitment to living a value-driven life and setting value-driven goals Session 5: Commitment to living a value driven life and setting value driven goals Your retirement party Values worksheet instructions Daily activity log Session 6: A plan to live a valued life Steps to living a valued life worksheet Daily activity log Attitudes about Guilt Survey (AAGS) Back Cover Trauma Informed Guilt Reduction Therapy: Reducing Guilt And Shame After Trauma Provides Mental Health Professionals With Transdiagnostic Techniques For Assessing And Treating Guilt And Shame Related To Traumatic Events. The Book Outlines The Trigr (trauma Informed Guilt Reduction Therapy) Protocol, An Evidence-based Treatment Plan For Helping Clients Whose Primary Presentation Isn't Fear Or Anxiety, But Rather Guilt And/or Shame Related To A Traumatic Event Or Events. Trigr Also Offers Clinical Flexibility As It Can Be Administered As A Standalone Treatment, As An Adjunct To Other Empirically Supported Treatment, Before Or After Ptsd Treatment, Or Integrated Into Other Ptsd And Depression Treatments. Case Studies Demonstrate How Trigr Can Be Used With A Range Of Trauma Types, Including Physical Assault, Combat-related Events, Motor Vehicle Accidents, And More. Conceptualization Of Trauma-related Guilt And Shame, Assessment And Treatment Of This Guilt And Shame, And Special Applications Are All Covered In-depth. Summarizes The Empirical Literature Connecting Guilt, Shame And Posttraumatic Problems Outlines A Brief, Transdiagnostic Therapy Shown To Reduce Guilt And Shame Related To Trauma Allows For Standalone, Adjunctive Or Pre/post-ptsd Treatment Provides Techniques For Assessing Posttraumatic Guilt, Shame And Related Distress Includes Case Examples, Clinical Vignettes And Clinical Forms And Tools For Immediate Use Suggests Ways To Integrate Trigr Into Other Treatments Includes Access To A Companion Website That Features Clinical Forms And Tools "Trauma Informed Guilt Reduction Therapy (TrIGR) provides mental health professionals with tools for assessing and treating guilt and shame resulting from trauma and moral injury. Guilt and shame are common features in many of the problems trauma survivors experience including posttraumatic stress disorder (PTSD), depression, substance use, and suicidality. This book presents Trauma Informed Guilt Reduction (TrIGR) Therapy, a brief, transdiagnostic psychotherapy designed to reduce guilt and shame. TrIGR offers flexibility in that it can be delivered as an individual or group treatment. Case examples demonstrate how TrIGR can be applied to a range of trauma types including physical assault, sexual abuse, childhood abuse, motor vehicle accidents, and to moral injury from combat and other military-related events. Conceptualization of trauma-related guilt and shame, assessment and treatment, and special applications are covered in-depth." --From publisher's description Trauma Informed Guilt Reduction Therapy (TrIGR) provides mental health professionals with tools for assessing and treating guilt and shame resulting from trauma and moral injury. Guilt and shame are common features in many of the problems trauma survivors experience including posttraumatic stress disorder (PTSD), depression, substance use, and suicidality. This book presents Tr auma I nformed G uilt R eduction (TrIGR) Therapy, a brief, transdiagnostic psychotherapy designed to reduce guilt and shame. TrIGR offers flexibility in that it can be delivered as an individual or group treatment. Case examples demonstrate how TrIGR can be applied to a range of trauma types including physical assault, sexual abuse, childhood abuse, motor vehicle accidents, and to moral injury from combat and other military-related events. Conceptualization of trauma-related guilt and shame, assessment and treatment, and special applications are covered in-depth.