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The University of Southampton

PTSD: Bridging the gap between Type I and Type II Trauma Event

23 January 2013
De Vere Grand Harbour Hotel, West Quay Road, Southampton SO15 1AG

For more information regarding this event, please telephone CBT Team on 02380 593578 or email .

Event details

A high proportion of adult trauma survivors will initially develop PTSD symptoms but a substantial proportion of these will recover without any intervention. For those who do not recover, PTSD becomes chronic and at least a third of individuals who initially develop PTSD will still be symptomatic three years and more after the trauma (Kessler et al., 1995). As well as the distress and impairments of function inherent in PTSD, individuals are at risk for the development of co-morbid conditions such as depressions and alcohol / substance abuse. PTSD following childhood trauma such as persistent sexual or physical abuse has multiple sequelae including self-harm, suicidal ideation, dissociation and re-victimisation.

The NICE guidelines recommend trauma-focused CBT or EMDR for PTSD but many CBT therapists have not been trained to deliver trauma-focused therapy or are reluctant to practise key techniques such as imaginal reliving. The recent IAPT initiative means that many more therapists are being trained in appropriate trauma-focused therapies for Type I (single incident) trauma but are then finding that the cases being referred to the services include more complex types of trauma that are characteristic of Type II trauma (repeated exposure either in childhood or as an adult, e.g combat). The multiplicity of problems that present as part Type II trauma requires developing the traditional CBT approaches for PTSD to include teaching basic emotion regulation and behavioural management strategies as well as ways of keeping safe to ensure that the person can cope with the emotional demands of the trauma work.

The approach we are taking in this workshop is to provide participants with an overview and refresher of how to treat Type I trauma and then we focus on models of PTSD that explain Type II trauma and how to implement evidence-based protocols in the treatment of more complex trauma presentations.
The workshop is suitable for CBT therapists who have some experience of working with either Type I or Type II trauma but who would like to develop their understanding and skills further.

Workshop costs

The cost is £120 per full day workshop with concessions of £100 for students and £110 for participants who attend two or more different workshops. The cost includes refreshments and lunch, handouts, certificates of attendance and an opportunity to evaluate your training.

Luisa Stopa is Director of CBT Programmes at the University
Lusia Stopa
Consultant Clinical Psychologist Suzanne Sambrook is a speaker at the workshop
Suzanne Sambrook

Speaker information

Luisa Stopa,is the Director of the University of Southampton Cognitive Therapy programmes. She is a Clinical Psychologist who has been practising, researching and teaching cognitive therapy for over 20 years. Her current interests focus on how imagery represents the self and how these images of self can contribute to the maintenance of disorders. She is the editor of a new book on this topic: Imagery and the threatened self: perspectives on mental imagery and the self in cognitive therapy and is also conducting research into how imagery rescripting works.

Suzanne Sambrook,Consultant Clinical Psychologist ,is currently working in a forensic low secure unit, where she manages the therapies service and provides training and supervision. She is an accredited CBT practitioner and is trained in DBT and Compassionate Mind Therapy. Before joining the Forensic Service, Dr Sambrook worked in Adult Mental Health Services for 10 years. Her main areas of expertise are in working with complex trauma and personality disorder.

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