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Trauma and Crisis, Week 2 Notes

by: Jadenole

Trauma and Crisis, Week 2 Notes MHS 6938

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Lecture notes from week 2.
Trauma and Crisis
Dr. C
Class Notes
trauma; crisis; psychology; counseling
25 ?




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This 2 page Class Notes was uploaded by Jadenole on Sunday January 31, 2016. The Class Notes belongs to MHS 6938 at Florida State University taught by Dr. C in Spring 2016. Since its upload, it has received 32 views. For similar materials see Trauma and Crisis in Language at Florida State University.


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Date Created: 01/31/16
Week Two: Crisis Intervention (continued)  The goal of crisis is stabilization. When an individual is in crisis, their immediate coping mechanisms are not enough.  The practitioner must trust that the client is autonomous. We can’t control everything – the client has their own role and we should encourage self- agency.  The human spirit is resilient – there is potential for growth after trauma and crisis.  Practitioners must know their “touchstones” to help prevent counselor burnout and vicarious traumatization.  Trauma Psych: Take the perspective of a loved one to prepare the individual for what they will see. Delivering bad news (Shallcross, 2012):  PEWTER model: Prepare, evaluate, warn, tell, emotional response, and regroup  Using a broken arm analogy to explain that a child will need treatment for mental illness  The way that a counselor delivers the news can help the client to receive it better and grow from it  PEWTER facilitates client acceptance and healing & promotes mutual respect  positive counseling relationship  The PEWTER model is not sequential, and the practitioner may not know all the details (e.g., Prepare stage) The PEWTER model:  Prepare: Ensure the environment is ready to deliver the news, and the counselor is prepared to deliver the news and receive the response. Consider the client’s culture, age, and other relevant characteristics.  Evaluate: Does the client already suspect something? Do they have an idea of what is going on?  Warn: Telling the client that you are about to deliver some difficult news. Gives the client a chance to briefly prepare.  Tell: Counselor communicates the news in layman’s terms (no technical or medical jargon).  Emotional response: Gauge where the client is and how long to continue the counseling session. Assessing the client’s reaction to the news.  Regroup: The counselor and the client work together to determine next steps and referral (if needed). Symptoms of Stress and Trauma (reference handout):  Short-term: one day to two months after the crisis  Long-Term: two months to one year after the crisis  Intake interview: be comprehensive, and look for symptoms in all of the categories (i.e., mental, mental, emotional, spiritual, and behavioral) to formulate a complete case conceptualization  Consider development and age, major loss, time period of symptoms, proximity to the event, overall mental health of the client, and reactions of others (group response)  Find confederates to provide psychoeducational information and help reduce group contagion o Ex: the matriarch or the patriarch, the person others are listening to  Help clients to focus on the present matter (stabilize) and the next task ahead  When the client is disassociating: get the first eye contact so that the person will focus, and then work on regulating the breathing


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